Incident Report Form + Workplace Safety Checklist Bundle | Near Miss & Accident Investigation
This incident report form and workplace safety checklist bundle is a documentation pack for shops and small businesses that need clean accident and near-miss paperwork.
It is for safety leads, supervisors, and office managers who want an editable Word download they can customize with company and site headers.
The ZIP includes a workplace incident report form, near miss report, accident investigation form, 5-Whys worksheet, corrective action tracker, weekly and monthly safety checklists, PPE log, witness statement, plus PDF and DOCX files.
Documentation tools and organizer blanks only. NOT an OSHA compliance guarantee. NOT legal advice. NOT medical advice. NOT a substitute for OSHA forms, workers compensation claims, clinical care, or counsel. Buyer adapts every field to THEIR company, site policy, and advisors. Root-cause / 5-Whys sheets are structured thinking tools, not findings or legal conclusions. Injury/illness first report is an admin documentation sheet only. Single-site use. No resale as templates. No income claims.
What's included
- Start Here + How to Use guides
- Important disclaimer page (heavy)
- Incident Report (PDF + DOCX)
- Near-Miss Report
- Injury/Illness First Report (admin documentation only)
- Investigation Timeline
- Root Cause Worksheet (5-Whys style thinking tool)
- Corrective Action Tracker
- Weekly Safety Inspection Checklist
- Monthly Facility Safety Walk
- PPE Issue Log
- Witness Statement Form
- README + LICENSE (single-site use)
Who it's for
- Shop leads and EHS admins who need blank incident and inspection organizers
- Small industrial or facility teams replacing sticky-note safety paperwork
- Teams that want documentation shells with company/site header fields, not fake compliance stamps
Who it's not for
- Anyone seeking an OSHA compliance guarantee or finished OSHA program
- Anyone seeking legal advice, medical advice, or claim filing services
- Anyone seeking PLR / resale rights or multi-site redistribution
Format & delivery
- Instant digital ZIP after checkout via Shopify Digital Products (gated download)
- US Letter PDFs (scale to A4 at print) + editable DOCX with [COMPANY NAME] / [SITE/LOCATION] headers
- Single-site use · Brand with your company info · Not for resale as templates
For broader training logs and hazard checklists, see the Workplace Safety Documentation Pack.
Questions: Contact DC Additive Pros · info@dcadditivepros.com
Price: $19