Workplace Injury Report Template (Civil Engineering Site)
Date of Report
Site Location
Name of Injured Person
Job Title / Role
Date of Injury
Time of Injury
Location of Incident (on site)
Nature of Injury
Part of Body Injured
Description of Incident
Witnesses (Names & Contact)
Immediate Action Taken
Reported to (Supervisor/Manager Name)
Further Action Recommended
Person Completing Report
Signature
Date