Ladder Accident Documentation
Incident Details
Date of Incident
Time of Incident
Location
Type of Ladder
Individuals Involved
Name
Role/Position
Contact Information
Accident Description
Describe How the Incident Occurred
Injuries Sustained (if any)
Witnesses (names and contact info)
Conditions & Contributing Factors
Weather Conditions
Ladder Condition Before Use
Personal Protective Equipment Used
Immediate Actions Taken
First Aid Provided
Emergency Services Contacted
Other Actions
Follow-Up Actions
Corrective/Preventive Actions
Reported To (supervisor, safety officer)
Date of Report
Additional Notes