Scaffold Collapse Accident Report
Basic Information
Date of Accident
Time of Accident
Location
Persons Involved
Name(s) and Role(s)
Description of Incident
Describe the scaffold collapse accident, including events leading up to it and immediate aftermath.
Injuries and Damages
List any injuries, property damages, or equipment loss.
Witnesses
Names and contact information of any witnesses.
Immediate Actions Taken
Describe actions taken immediately after the accident (first aid, emergency services, securing site).
Possible Causes
Identify possible causes and factors contributing to the collapse.
Reported By
Name
Position/Title
Date