Accident / Near Miss Reporting

Use this page to capture accidents, near misses, unsafe conditions, property damage, first-aid events and immediate follow-up actions. Fields are optional for QA testing.

Incident reporting

Accident / Near Miss Form

This is a raw static Netlify form. It is not injected by JavaScript, so Netlify should detect it at deploy. For QA testing, no field is mandatory.

Important — online form does not replace on-site paperworkSubmitting this online form supports internal escalation and review only. Any site accident book entry, local incident record, contractor paperwork, first-aid record or other Laserfast on-site documentation must still be completed in line with site procedures.

Section 1 — Reporter and site details

Section 2 — Type of event

Select all that apply. For example, an accident may also include property damage or an unsafe condition.

Section 3 — Category / hazard involved

Section 4 — What happened?

Section 5 — People, injury and projected time off work

Section 6 — Evidence and follow up

Testing noteThis form can be submitted blank. After redeploy, Netlify should show a form called accident-reporting.