Common Accident Report Forms for Workplace Injuries

One of your first actions after any type of workplace injury is to seek medical care. Your next step is to notify your supervisor, union representative, or another authorized individual about your injury, accident, or illness.

You will complete one or more common accident report forms for workplace injuries. These work accident report forms are part of your obligation for reporting the injury and for helping you get benefits for which you may be eligible.

Resources for Common Workplace Accident Report Forms

The following are downloadable links for common accident report forms for workplace injuries. This is not an exhaustive list because many employers also have their own employee accident report form templates.

OSHA Employee’s Report of Injury Form

All workers who experience an injury, illness or a “near miss” at work are required to complete an Employee’s Report of Injury Form provided by the Occupational Safety and Health Administration (OSHA). An OSHA accident report form is for both the employee and the employer.

To download the accident report form PDF, click this link: OSHA Employee’s Report of Injury Form.

Click here for the Spanish versions of OSHA forms and publications.

New York State Department of Labor Incident Report

New York State requires workers to report all injury and illness to the state Department of Labor (DOL). Download the New York State DOL Injury and Illness Incident Form (Form SH 900.2) now.

EPA Incident Report

If your workplace injury or illness involves controlled or toxic substances (such as pesticides), you might be asked to complete a form for the Environmental Protection Agency (EPA). Click this link to download the EPA’s Industry’s Voluntary Incident Report.

Information Often Required on Accident Forms

Depending on the type of injury that you have suffered, you will need to include certain types of information on the accident form.

These key details might include:

• Your name and job title
• Date and time of the injury
• Location of the accident (for example, in the warehouse or at a construction site)
• Name and job title of your immediate supervisor
• Parties involved in the incident
• Injury details that may need supporting documentation such as X-rays or a doctor’s note
• Details about unsafe conditions that contributed to the accident and injury
• Property loss or damage because of the accident
• Police or first responder reports if applicable
• Any follow-up actions, such as increased safety measures, training, and education, or need for safety equipment or adaptive devices

Often you can upload or electronically send supporting evidence and documentation. This allows you to file an employee accident report quickly and reduces the chance for evidence to become lost or delayed in the mail. However, you may also print and mail the completed form if you wish.

Your workplace may have other paperwork for you to complete when you report an incident at work or on the clock. For example, your employer may have a specific employee vehicle accident report form if you were involved in an accident on company time.

Your health and safety are incredibly important, and it’s crucial that you document everything as it relates to the accident incident.

Leading Workplace Injury Causes

According to the National Safety Council (NSC), 84 percent of all nonfatal work injuries share three leading causes:

• Overexertion and bodily reactions from both non-impact and repetitive injuries
• Slip, trip, and fall accidents
• Contact with machinery, equipment, and objects

Workplace injuries can happen for many reasons. Some possible incidents that result in injury can even include workplace violence or a failure to securely store equipment or other objects. Employers may even need to figure out appropriate corrective actions related to the incident to prevent injuries in the future.

It is up to the injured employee to complete the most common accident forms for workplace injuries. Most of these accident incident report forms are available in languages other than English, but if they are not, you may benefit from talking to a bilingual (fluent in English and Spanish) member of our team.

We Get Results for Injured Workers

Our attorneys have won more than $400 million in settlements and verdicts for clients. We help break the barriers between injured people and their quest for justice and compensation.

Our team can help you:

• Understand your rights
• Protect these rights regardless of your legal status
• Connect with medical care and even provide translation for Spanish-speaking clients

Our team wants to help you get money to cover the pain and suffering damages associated with your injuries. These damages include past and future pain and suffering, as the bills and mental distress from your injuries can negatively impact your life. Our firm is also prepared to help you fight for the recovery of lost union benefits.

Case Results by Our Legal Team

You should know that past results do not guarantee future outcomes, but Oresky & Associates, PLLC has been a strong and successful advocate for injured New Yorkers for 30 years.

Some of our workplace injury case results include:

• $18 million verdict for an undocumented construction worker who was severely injured in a scaffolding accident.
• $9.9 million settlement for an individual injured in a construction accident.
• $6 million settlement for an injured electrician hurt in a fall from a roof.
• $5 million awarded to an HVAC worker who needed back surgery after being knocked off a ladder.

Your legal status does not matter if you are injured on the job. A lawyer with our firm can help you understand how you can pursue compensation regardless of your immigration status.

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Recoverable Damages from a Workplace Injury

Each workplace injury or illness case is different. However, there are often common recoverable damages associated with a workplace accident that may apply to you or your loved one.

These damages include:

• Monetary compensation for past pain and suffering caused by injuries
• Money damages for future pain and suffering caused by injuries
• Loss of services
• Loss of union benefits
• Lost wages
• Decreased earning ability
• Disability
• Disfigurement
• Diminished quality of life