Free accident report form
A printable accident report form for recording a single accident or injury at work. It covers every detail UK law requires for an accident book entry, plus first aid given, witnesses and the manager’s RIDDOR check.
Download the template
Printable PDF
One accident per form, ready to print and fill in by hand. Free to download, no sign-up needed.
Download PDFEditable versions, by email
- Word document. An editable .docx you can brand or adapt.
What the template includes
25 fields in 6 sections.
About the injured person
- Full name
- Home address
- Occupation or job title
- Employee, contractor, agency worker, visitor, pupil or member of the public
- Phone or email
About the accident
- Date of the accident
- Time of the accident
- Site or address
- Exact location (for example, room, aisle or area)
- What was the person doing at the time?
- Describe what happened, in order, sticking to the facts
- What caused the injury?
About the injury
- Nature of the injury and part of the body (for example, cut to left index finger)
- First aid given, and by whom
- Taken to hospital? If yes, which hospital and how
- Did the person stop work? Expected time off
Witnesses
- Names and contact details of any witnesses
Person completing this form (if not the injured person)
- Full name
- Address
- Occupation or job title
- Signature and date
Manager follow-up
- Is this reportable under RIDDOR? (Yes / No / Watch for over-7-day absence)
- If reported: date reported to the HSE and reference number
- Actions to stop it happening again, who is responsible and by when
- Reviewed by, and date
How to use the template
- Fill in one form for each accident, as soon as possible after it happens, once the person has received any first aid they need.
- The injured person can complete the form, or someone can do it on their behalf, such as a first aider, colleague or manager.
- Stick to facts: what happened, where, when and the injury. Do not record opinions about blame.
- The details in the first five sections cover what the Social Security (Claims and Payments) Regulations 1979 require for an accident book entry.
- Some accidents must be reported to the HSE under RIDDOR. Check with the free RIDDOR checker at useaccidentbook.co.uk/riddor-checker.
- The form contains personal and health data. Store completed forms securely and only share them with people who need to see them, in line with UK GDPR.
Accident report form or accident book?
Use this form when you want one record per accident, for example to pass to a manager or attach to an investigation. If you’d rather keep all your records together, use our accident book template. For near misses, use the near miss report form, and for a full investigation, the accident investigation form.
Filling in the form well
Stick to facts, be specific about the injury and the body part, and write it up straight away. See accident book entry examples for good and bad entries, and check whether the accident must be reported with the free RIDDOR checker.
Let staff report accidents from their phone
With Accident Book, staff scan a QR code at your site and fill in the same details in under a minute. Managers get an instant alert and a RIDDOR check. £9.99 per site per month, 7-day free trial.