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Free Retail Accident Report Form

Retail Accident Report Form
Please fill out this form completely to document any accidents or incidents occurring in the retail environment.
Date and Time of Accident
Location
Office Area
Conference Room
Parking Lot]
Name of Injured Party
Department/Team
Role
Customer
Employee
Visitor
Type of Incident
Slip
Fall
Collision
Describe the Accident
Witness Name 1
Phone number
Witness Name 2
Phone number
Upload Relevant Files
Were there any injuries?
Yes
No
If yes, please input the details of the injury sustained.
Body Part(s) Affected (if applicable)
First Aid Given?
Yes
No
Medical Attention Needed?
Yes
No
Other Impact on Work or Workplace
Immediate Actions Taken
Staff Responsible for Handling Incident
Manager/Supervisor Name
Phone Number
Additional Notes or Recommendations
Employee | [Your Name] Manager/Supervisor |
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Discover the Retail Accident Report Form Template from Template.net, designed for seamless documentation of incidents. This fully customizable tool ensures comprehensive reporting, safeguarding your business. Editable in our AI Editor Tool, it enables effortless personalization to meet specific needs. Enhance efficiency and maintain accurate records with this professionally crafted template. Streamline your processes with confidence today.