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<!DOCTYPE html> <html dir="ltr" lang="en-US" prefix="og: https://ogp.me/ns#"> <head> <meta charset="UTF-8"> <title>Customizable Accident Report Form Template</title>  <meta name="description" content="Use this form template to get important details about an accident and record details of those involved." /> <meta name="robots" content="max-image-preview:large" /> <link rel="canonical" href="https://wpforms.com/templates/accident-report-form-template/" /> <meta name="generator" content="All in One SEO Pro (AIOSEO) 4.7.0" /> <meta property="og:locale" content="en_US" /> <meta property="og:site_name" content="WPForms Form Template Gallery" /> <meta property="og:type" content="article" /> <meta property="og:title" content="Customizable Accident Report Form Template" /> <meta property="og:description" content="Use this form template to get important details about an accident and record details of those involved." /> <meta property="og:url" content="https://wpforms.com/templates/accident-report-form-template/" /> <meta property="og:image" content="https://wpforms.com/templates/wp-content/uploads/2021/05/opengraph-02092021.png" /> <meta property="og:image:secure_url" content="https://wpforms.com/templates/wp-content/uploads/2021/05/opengraph-02092021.png" /> <meta property="og:image:width" content="2500" /> <meta property="og:image:height" content="1407" /> <meta property="article:section" content="Business Operations" /> <meta property="article:published_time" content="2021-05-27T08:53:40+00:00" /> <meta property="article:modified_time" content="2024-07-03T18:12:03+00:00" /> <meta property="article:publisher" content="https://facebook.com/wpforms" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:site" content="@easywpforms" /> <meta name="twitter:title" content="Customizable Accident Report Form Template" /> <meta name="twitter:description" content="Use this form template to get important details about an accident and record details of those involved." /> <meta name="twitter:creator" content="@easywpforms" /> <meta name="twitter:image" content="https://wpforms.com/templates/wp-content/uploads/2021/05/opengraph-02092021.png" /> <meta name="twitter:label1" content="Written by" /> <meta name="twitter:data1" content="Claire Broadley" /> <meta name="twitter:label2" content="Est. reading time" /> <meta name="twitter:data2" content="2 minutes" /> <script type="application/ld+json" class="aioseo-schema"> {"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/wpforms.com\/templates\/accident-report-form-template\/#article","name":"Customizable Accident Report Form Template","headline":"Accident Report Form Template","author":{"@id":"https:\/\/wpforms.com\/templates\/author\/cbroadleyawesomemotive-com\/#author"},"publisher":{"@id":"https:\/\/wpforms.com\/templates\/#organization"},"image":{"@type":"ImageObject","url":"https:\/\/wpforms.com\/templates\/wp-content\/uploads\/2021\/05\/wpformslogo.png","@id":"https:\/\/wpforms.com\/templates\/#articleImage","width":549,"height":163},"datePublished":"2021-05-27T04:53:40-04:00","dateModified":"2024-07-03T14:12:03-04:00","inLanguage":"en-US","mainEntityOfPage":{"@id":"https:\/\/wpforms.com\/templates\/accident-report-form-template\/#webpage"},"isPartOf":{"@id":"https:\/\/wpforms.com\/templates\/accident-report-form-template\/#webpage"},"articleSection":"Business Operations, Customer Service, Basic, Elite, Plus, Pro"},{"@type":"BreadcrumbList","@id":"https:\/\/wpforms.com\/templates\/accident-report-form-template\/#breadcrumblist","itemListElement":[{"@type":"ListItem","@id":"https:\/\/wpforms.com\/templates\/#listItem","position":1,"name":"Home","item":"https:\/\/wpforms.com\/templates\/","nextItem":"https:\/\/wpforms.com\/templates\/accident-report-form-template\/#listItem"},{"@type":"ListItem","@id":"https:\/\/wpforms.com\/templates\/accident-report-form-template\/#listItem","position":2,"name":"Accident Report Form Template","previousItem":"https:\/\/wpforms.com\/templates\/#listItem"}]},{"@type":"FAQPage","@id":"https:\/\/wpforms.com\/templates\/accident-report-form-template\/#faq","url":"https:\/\/wpforms.com\/templates\/accident-report-form-template\/","mainEntity":[{"@type":"Question","name":"How do I use WPForms form templates?","acceptedAnswer":{"@type":"Answer","text":"Our form templates are super easy to use. 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class="description">Gather information about an accident and record details of those involved.</p> <a href="https://wpforms.com/pricing/" class="button button-large" data-vars-ga-category="Templates Single" data-vars-ga-action="click" data-vars-ga-label="Use This Template (Bottom)">Use This Template</a> </div> </div> <div class="container single-container"> <div id="primary" class="site-content"> <main id="main" class="site-main" role="main"> <article class="post-59 post type-post status-publish format-standard hentry category-business-operations category-customer-service license-basic license-elite license-plus license-pro"> <div class="entry-content"> <div class="content-wpform-shortcode"> <div> <div class="wpforms-container wpforms-container-full form-template-disabled wpforms-container-save-resume wpforms-render-modern" id="wpforms-58"><form id="wpforms-form-58" class="wpforms-validate wpforms-form" data-formid="58" method="post" enctype="multipart/form-data" action="/templates/accident-report-form-template/" data-token="b2d960cb15c7a3ff826081d82136dc36" data-token-time="1732519675"><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript><div class="wpforms-hidden" id="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</div><div class="wpforms-field-container"><div id="wpforms-58-field_9-container" class="wpforms-field wpforms-field-name" data-field-id="9"><fieldset><legend class="wpforms-field-label">Name <span class="wpforms-required-label" aria-hidden="true">*</span></legend><div class="wpforms-field-row wpforms-field-medium"><div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-58-field_9" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][9][first]" aria-errormessage="wpforms-58-field_9-error" required><label for="wpforms-58-field_9" class="wpforms-field-sublabel after">First</label></div><div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-58-field_9-last" class="wpforms-field-name-last wpforms-field-required" name="wpforms[fields][9][last]" aria-errormessage="wpforms-58-field_9-last-error" required><label for="wpforms-58-field_9-last" class="wpforms-field-sublabel after">Last</label></div></div></fieldset></div><div id="wpforms-58-field_10-container" class="wpforms-field wpforms-field-email" data-field-id="10"><label class="wpforms-field-label" for="wpforms-58-field_10">Email <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="email" id="wpforms-58-field_10" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][10]" spellcheck="false" aria-errormessage="wpforms-58-field_10-error" required></div><div id="wpforms-58-field_1-container" class="wpforms-field wpforms-field-checkbox" data-field-id="1"><fieldset><legend class="wpforms-field-label">I am reporting a</legend><ul id="wpforms-58-field_1"><li class="choice-1 depth-1"><input type="checkbox" id="wpforms-58-field_1_1" name="wpforms[fields][1][]" value="Loss of time/injury" aria-errormessage="wpforms-58-field_1_1-error" ><label class="wpforms-field-label-inline" for="wpforms-58-field_1_1">Loss of time/injury</label></li><li class="choice-2 depth-1"><input type="checkbox" id="wpforms-58-field_1_2" name="wpforms[fields][1][]" value="First aid incident" aria-errormessage="wpforms-58-field_1_2-error" ><label class="wpforms-field-label-inline" for="wpforms-58-field_1_2">First aid incident</label></li><li class="choice-3 depth-1"><input type="checkbox" id="wpforms-58-field_1_3" name="wpforms[fields][1][]" value="Close call" aria-errormessage="wpforms-58-field_1_3-error" ><label class="wpforms-field-label-inline" for="wpforms-58-field_1_3">Close call</label></li><li class="choice-4 depth-1"><input type="checkbox" id="wpforms-58-field_1_4" name="wpforms[fields][1][]" value="Observation" aria-errormessage="wpforms-58-field_1_4-error" ><label class="wpforms-field-label-inline" for="wpforms-58-field_1_4">Observation</label></li></ul></fieldset></div><div id="wpforms-58-field_2-container" class="wpforms-field wpforms-field-name" data-field-id="2"><fieldset><legend class="wpforms-field-label">Person Reporting Incident <span class="wpforms-required-label" aria-hidden="true">*</span></legend><div class="wpforms-field-row wpforms-field-medium"><div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-58-field_2" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][2][first]" aria-errormessage="wpforms-58-field_2-error" required><label for="wpforms-58-field_2" class="wpforms-field-sublabel after">First</label></div><div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-58-field_2-last" class="wpforms-field-name-last wpforms-field-required" name="wpforms[fields][2][last]" aria-errormessage="wpforms-58-field_2-last-error" required><label for="wpforms-58-field_2-last" class="wpforms-field-sublabel after">Last</label></div></div></fieldset></div><div id="wpforms-58-field_3-container" class="wpforms-field wpforms-field-name" data-field-id="3"><fieldset><legend class="wpforms-field-label">NamePerson Involved in Incident <span class="wpforms-required-label" aria-hidden="true">*</span></legend><div class="wpforms-field-row wpforms-field-medium"><div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-58-field_3" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][3][first]" aria-errormessage="wpforms-58-field_3-error" required><label for="wpforms-58-field_3" class="wpforms-field-sublabel after">First</label></div><div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-58-field_3-last" class="wpforms-field-name-last wpforms-field-required" name="wpforms[fields][3][last]" aria-errormessage="wpforms-58-field_3-last-error" required><label for="wpforms-58-field_3-last" class="wpforms-field-sublabel after">Last</label></div></div></fieldset></div><div id="wpforms-58-field_4-container" class="wpforms-field wpforms-field-date-time" data-field-id="4"><fieldset><legend class="wpforms-field-label">Date and Time of incident</legend><div class="wpforms-field-row wpforms-field-medium"><div class="wpforms-field-row-block wpforms-date-type-datepicker"><div class="wpforms-datepicker-wrap"><input type="text" id="wpforms-58-field_4" class="wpforms-field-date-time-date wpforms-datepicker" data-date-format="m/d/Y" data-disable-past-dates="0" data-input="true" name="wpforms[fields][4][date]" aria-errormessage="wpforms-58-field_4-error" ><a title="Clear Date" data-clear class="wpforms-datepicker-clear" style="display:none;"></a></div><label for="wpforms-58-field_4" class="wpforms-field-sublabel after">Date</label></div><div class="wpforms-field-row-block"><input type="text" id="wpforms-58-field_4-time" class="wpforms-field-date-time-time wpforms-timepicker" data-time-format="g:i A" data-step="15" data-rule-time12h="true" name="wpforms[fields][4][time]" aria-errormessage="wpforms-58-field_4-time-error" ><label for="wpforms-58-field_4-time" class="wpforms-field-sublabel after">Time</label></div></div></fieldset></div><div id="wpforms-58-field_5-container" class="wpforms-field wpforms-field-text" data-field-id="5"><label class="wpforms-field-label" for="wpforms-58-field_5">Location of Incident</label><input type="text" id="wpforms-58-field_5" class="wpforms-field-medium" name="wpforms[fields][5]" aria-errormessage="wpforms-58-field_5-error" ></div><div id="wpforms-58-field_6-container" class="wpforms-field wpforms-field-textarea" data-field-id="6"><label class="wpforms-field-label" for="wpforms-58-field_6">Please describe the event in detail</label><textarea id="wpforms-58-field_6" class="wpforms-field-medium" name="wpforms[fields][6]" aria-errormessage="wpforms-58-field_6-error" ></textarea></div><div id="wpforms-58-field_7-container" class="wpforms-field wpforms-field-radio" data-field-id="7"><fieldset><legend class="wpforms-field-label">Was damage done to the property?</legend><ul id="wpforms-58-field_7"><li class="choice-1 depth-1"><input type="radio" id="wpforms-58-field_7_1" name="wpforms[fields][7]" value="Yes" aria-errormessage="wpforms-58-field_7_1-error" ><label class="wpforms-field-label-inline" for="wpforms-58-field_7_1">Yes</label></li><li class="choice-2 depth-1"><input type="radio" id="wpforms-58-field_7_2" name="wpforms[fields][7]" value="No" aria-errormessage="wpforms-58-field_7_2-error" ><label class="wpforms-field-label-inline" for="wpforms-58-field_7_2">No</label></li></ul></fieldset></div><div id="wpforms-58-field_8-container" class="wpforms-field wpforms-field-radio" data-field-id="8"><fieldset><legend class="wpforms-field-label">Could this incident have been avoided?</legend><ul id="wpforms-58-field_8"><li class="choice-1 depth-1"><input type="radio" id="wpforms-58-field_8_1" name="wpforms[fields][8]" value="Yes" aria-errormessage="wpforms-58-field_8_1-error" ><label class="wpforms-field-label-inline" for="wpforms-58-field_8_1">Yes</label></li><li class="choice-2 depth-1"><input type="radio" id="wpforms-58-field_8_2" name="wpforms[fields][8]" value="No" aria-errormessage="wpforms-58-field_8_2-error" ><label class="wpforms-field-label-inline" for="wpforms-58-field_8_2">No</label></li></ul></fieldset></div></div><div class="wpforms-submit-container" ><input type="hidden" name="wpforms[id]" value="58"><input type="hidden" name="page_title" value="Accident Report Form Template"><input type="hidden" name="page_url" value="https://wpforms.com/templates/accident-report-form-template/"><input type="hidden" name="page_id" value="59"><input type="hidden" name="wpforms[post_id]" value="59"><button type="submit" name="wpforms[submit]" id="wpforms-submit-58" class="wpforms-submit" data-alt-text="Sending..." data-submit-text="Submit" aria-live="assertive" value="wpforms-submit">Submit</button></div></form></div>  <div class="block-required-plan block"> <div class="block-container"> <a href="https://wpforms.com/pricing/" class="plan-notice-box"> <div class="plan-badge-holder"> <span class="plan-badge">basic</span> </div> <span>This template includes features available in WPForms Basic. <span class="plan-compare">Compare Plans</span></span> </a> </div> </div> </div> </div> <div class="single-template-content"> <p>Are you looking for an easy way to document accidents that happen at the office or on job sites? With WPForms’ accident report form, you can gather information about the accident and those involved and document them in one convenient location.</p> <h3>How Do I Write an Accident Report Form?</h3> <p>You can write an accident report form by recording the type of accident, names of those involved in the accident and those reporting it, the date and time, location, and details about the incident. Our form template makes this easy.</p> <p>An Email or Phone form field makes it easy get in touch with the person reporting an accident if need be. This is especially helpful if the accident becomes a worker’s compensation issue that needs to be handled by you and your insurance company.</p> <p>Being able to contact the witness to an accident is also helpful if there was damage done to your business equipment or a customer’s personal items.</p> <p>To make your accident report form more official, and hold those reporting accidents responsible for their reports, add a Signature form field to your accident report form template. Collect electronic signatures that can be documented for your records and given to insurance companies should you need to file a claim. This protects your business from false reports from those seeking compensation from you.</p> <p>You can also add a File Upload form field to your accident report form template so any injuries or property damage can be photographed and uploaded to the report as evidence something really happened.</p> <p>Lastly, send out multiple email notifications anytime someone submits an accident report form on your website so you, the person reporting the accident, those involved, and your HR department are notified immediately. This also gives you the chance to let each party know what the next steps in the process are.</p> </div> </div> </article> </main> </div> </div> <div class="container wpf-pro-cta"> <a href="https://wpforms.com/pricing/" class="button button-large" data-vars-ga-category="Templates Single" data-vars-ga-action="click" data-vars-ga-label="Get WPForms Pro (Bottom)">Get WPForms Pro</a> </div> <div class="related-templates-wrap"> <h2 class="title">Looking for something else?</h2> <p>Here are some other <a href="https://wpforms.com/templates/category/business-operations">Business Operations form templates</a></p> <div class="related-templates-grid templates-list"> <div class="template-demo-block "> <div class="thumb-template"> <a href="https://wpforms.com/templates/subscription-box-signup-form-template/"><img src="https://wpforms.com/templates/wp-content/uploads/templates/thumb/3d2509a101785d1fb0f4a7609cb9fdfe.jpg" alt="Subscription Box Signup Form Template"></a> </div> <div class="content"> 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currently tracked */ $.scrollDepth.removeElements = function(elems) { if (typeof elems == "undefined" || !$.isArray(elems)) { return; } $.each(elems, function(index, elem) { var inElementsArray = $.inArray(elem, options.elements); var inCacheArray = $.inArray(elem, cache); if (inElementsArray != -1) { options.elements.splice(inElementsArray, 1); } if (inCacheArray != -1) { cache.splice(inCacheArray, 1); } }); }; /* * Throttle function borrowed from: * Underscore.js 1.5.2 * http://underscorejs.org * (c) 2009-2013 Jeremy Ashkenas, DocumentCloud and Investigative Reporters & Editors * Underscore may be freely distributed under the MIT license. */ function throttle(func, wait) { var context, args, result; var timeout = null; var previous = 0; var later = function() { previous = new Date; timeout = null; result = func.apply(context, args); }; return function() { var now = new Date; if (!previous) previous = now; var remaining = wait - (now - previous); context = this; args = arguments; if (remaining <= 0) { clearTimeout(timeout); timeout = null; previous = now; result = func.apply(context, args); } else if (!timeout) { timeout = setTimeout(later, remaining); } return result; }; } /* * Scroll Event */ function bindScrollDepth() { scrollEventBound = true; $window.on('scroll.scrollDepth', throttle(function() { /* * We calculate document and window height on each scroll event to * account for dynamic DOM changes. */ var docHeight = $(document).height(), winHeight = window.innerHeight ? window.innerHeight : $window.height(), scrollDistance = $window.scrollTop() + winHeight, /* Recalculate percentage marks */ marks = calculateMarks(docHeight), /* Timing */ timing = +new Date - startTime; checkMarks(marks, scrollDistance, timing); }, 500)); } init(); }; /* UMD export */ return $.scrollDepth; })); jQuery.scrollDepth(); } else { setTimeout(monsterinsights_scroll_tracking_load, 200); } } monsterinsights_scroll_tracking_load(); }); } /* End MonsterInsights Scroll Tracking */ 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