Construction Site Accident Witness Statement Form
Witness Information
Full Name
Contact Number
Address
Role/Position
Accident Details
Date of Accident
Time of Accident
Location of Accident
Describe What You Witnessed
In your opinion, what caused the accident?
What immediate actions were taken?
Were there other witnesses? If yes, provide names.
Additional Comments
Declaration
I declare that the above statement is true and accurate to the best of my knowledge.
Signature
Date