Legal Templates
Employee Incident Report Form

Employee Incident Report Form Template for Singapore

Create a bespoke document in minutes, or upload and review your own.

4.6 / 5
4.8 / 5

Let's create your Employee Incident Report Form

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

Employee Incident Report Form

"Need an Employee Incident Report Form for our Singapore manufacturing facility that includes detailed sections on machinery accidents and chemical exposure, as we're expanding our chemical processing unit in January 2025 and need to ensure compliance with updated MOM safety regulations."

Celebrated by
Collaborations with
Investors

What is a Employee Incident Report Form?

The Employee Incident Report Form is a crucial document required under Singapore's workplace safety regulations. It serves as an official record of workplace incidents, accidents, or near-misses, enabling proper documentation and follow-up actions. This form must be completed whenever an incident occurs that affects employee safety or health, property damage, or operational disruption. The document helps organizations comply with Ministry of Manpower (MOM) reporting requirements, facilitate insurance claims, and implement preventive measures. It supports systematic incident tracking and analysis while ensuring compliance with Singapore's workplace safety legislation.

What sections should be included in a Employee Incident Report Form?

1. Incident Information: Basic details including date, time, location of incident

2. Employee Information: Details of affected employee(s) including name, ID, department, role

3. Incident Description: Detailed account of what happened, including sequence of events

4. Injury/Damage Details: Nature and extent of any injuries or damage caused

5. Immediate Actions Taken: Steps taken immediately following the incident

6. Witness Information: Details of any witnesses to the incident

What sections are optional to include in a Employee Incident Report Form?

1. Medical Treatment Details: Information about medical attention provided - use when medical treatment was required

2. Equipment/Machinery Involved: Details of any equipment or machinery involved in incident - use when incident involves equipment or machinery

3. Environmental Conditions: Description of environmental factors - use when environmental conditions contributed to incident

4. Third Party Involvement: Information about any third parties involved - use when incident involves external parties

What schedules should be included in a Employee Incident Report Form?

1. Witness Statements: Detailed statements from witnesses

2. Photographs/Videos: Visual evidence of incident scene, injuries, or damage

3. Medical Reports: Copies of any medical reports or certificates

4. Safety Equipment Records: Documentation of safety equipment status if relevant

5. Training Records: Relevant training certificates or records of affected employees

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Linkedin in social icon imageX social icon image
alex.den.21@genieai.co
Industries

Workplace Safety and Health Act (WSHA): Primary legislation governing workplace safety requirements, incident reporting obligations, and establishes duties of employers and employees regarding safety reporting in Singapore

Work Injury Compensation Act (WICA): Legislation governing compensation for workplace injuries, defining reportable accidents and injuries, and establishing timelines for incident reporting

Personal Data Protection Act (PDPA): Regulatory framework for collection and handling of personal data, ensuring confidentiality of incident reports and controlling access to sensitive information

Employment Act: Basic employment legislation providing framework for employee rights and employer obligations, including aspects relevant to incident reporting

MOM Guidelines: Ministry of Manpower guidelines detailing specific reporting requirements, prescribed forms and procedures, and timeline requirements for incident submissions

Industry-specific regulations: Additional regulations that may apply depending on the specific industry sector

Company policies: Internal organizational procedures and policies that need to be incorporated into incident reporting

Insurance requirements: Specific documentation and reporting requirements that may be needed for insurance coverage

Trade union agreements: Any relevant collective bargaining agreements or union requirements that may affect incident reporting procedures

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Security Guard Report Form

A Singapore-compliant security incident reporting form for documenting security-related events and actions taken by security officers.

find out more

Patient Safety Incident Reporting Form

A Singapore-compliant form for reporting patient safety incidents in healthcare settings, aligned with MOH requirements.

find out more

Incident Notification Form

A standardized form for reporting workplace incidents in Singapore, complying with local safety regulations and MOM requirements.

find out more

Health And Safety Incident Report Form

A Singapore-compliant workplace incident reporting form meeting MOM and WSHA requirements for documenting safety incidents and injuries.

find out more

Hazard Report Form

A standardized form used in Singapore for reporting workplace hazards in compliance with WSHA regulations.

find out more

Hazard Incident Report Form

A Singapore-compliant form for reporting workplace hazards and incidents under MOM regulations.

find out more

Work Place Injury Report Form

A mandatory Singapore MOM form for reporting workplace injuries and accidents, compliant with WSHA and WICA regulations.

find out more

Employee Incident Report Form

A Singapore-compliant form for recording and reporting workplace incidents and accidents, aligned with WSHA and WICA requirements.

find out more

Security Incident Report Form

A standardized form for reporting security incidents in Singapore, compliant with PDPA and Cybersecurity Act requirements.

find out more

Incident Response Form

A standardized form for documenting and managing security incidents in Singapore, ensuring compliance with local data protection and cybersecurity regulations.

find out more

Incident Investigation Form

A Singapore-compliant workplace incident investigation documentation tool meeting MOM and WSHA requirements.

find out more

Download our whitepaper on the future of AI in Legal

By providing your email address you are consenting to our Privacy Notice.
Thank you for downloading our whitepaper. This should arrive in your inbox shortly. In the meantime, why not jump straight to a section that interests you here: https://www.genieai.co/our-research
Oops! Something went wrong while submitting the form.

Genie’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; Genie’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

Our bank-grade security infrastructure undergoes regular external audits

We are ISO27001 certified, so your data is secure

Organizational security

You retain IP ownership of your documents

You have full control over your data and who gets to see it

Innovation in privacy:

Genie partnered with the Computational Privacy Department at Imperial College London

Together, we ran a £1 million research project on privacy and anonymity in legal contracts

Want to know more?

Visit our Trust Centre for more details and real-time security updates.

Read our Privacy Policy.