Construction Site Accident Communication Report
Date of Report
Time of Report
Project/Site Name
Location
Reported By
Contact Number
Date of Accident
Time of Accident
Exact Location of Accident
Accident Details (Describe what happened)
Injured Person(s) Name(s)
Severity of Injury
Minor
Moderate
Serious
Fatal
Medical Attention Provided?
Yes
No
Witness(es) Name(s)
Immediate Actions Taken
Reported To (e.g., Supervisor/Manager)
Further Comments/Recommendations