Accident report template for fast, consistent filing.
A workplace accident report covering the injured person, what happened, the injury, and corrective actions. Download it free and let Claude file it from a short account.
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About this template
This accident report carries reference, department, date/time, location, injured person, witnesses, a narrative, an injury description, and follow-up recommendations as named placeholders — so an agent can file a complete, consistent report in seconds. Like the incident report, it is text-first: the standalone product renders text and tables, not the photo or signature capture available in the monday version.
Every {{placeholder}} the agent fills in.
| Field | What it means | Example |
|---|---|---|
{{ReferenceNumber}} | Unique accident reference. | ACC-2026-0019 |
{{Subject}} | One-line summary. | Hand laceration during assembly |
{{Department}} | Department involved. | Production |
{{AccidentDate}} | Date of the accident. | 2026-06-12 |
{{AccidentTime}} | Time of the accident. | 11:05 |
{{AccidentLocation}} | Where it happened. | Line 3, Station B |
{{InjuredPerson}} | Name of the injured person. | Alex Rivera |
{{PhoneNumber}} | Injured person's phone. | +44 7700 900456 |
{{Supervisor}} | Supervisor on duty. | Dana Whitfield |
{{Witnesses}} | Any witnesses. | Sam Okoye |
{{AccidentDetails}} | What happened. | A guard was removed… |
{{InjuryDescription}} | Nature of the injury. | Superficial laceration… |
{{FollowUpRecommendations}} | Corrective actions. | Lock-out the line… |
{{AdditionalNotes}} | Anything else of note. | First aid administered. |
Ask Claude in plain English.
Or pass a JSON payload directly
{
"ReferenceNumber": "ACC-2026-0019",
"Subject": "Hand laceration during assembly",
"Department": "Production",
"AccidentDate": "2026-06-12",
"AccidentTime": "11:05",
"AccidentLocation": "Line 3, Station B",
"InjuredPerson": "Alex Rivera",
"PhoneNumber": "+44 7700 900456",
"Supervisor": "Dana Whitfield",
"Witnesses": "Sam Okoye",
"AccidentDetails": "A guard was removed for cleaning and not refitted before the line restarted.",
"InjuryDescription": "Superficial laceration to the left hand; treated on site.",
"FollowUpRecommendations": "Lock-out the line whenever guards are removed.",
"AdditionalNotes": "First aid administered; no hospital visit required."
}From download to Claude-callable in four steps.
Grab the .docx, open it in Word, and swap in your logo, colors, and any clauses you want. Keep the {{placeholders}} you need.
Drop the file into your DocExport workspace. It auto-annotates every field in plain English so your agent knows what each one means.
Point Claude (Desktop, API, or any MCP client) at your DocExport endpoint. The template shows up as a callable tool.
Ask in plain English. Claude previews, self-corrects, and returns a polished PDF or DOCX via signed URL.
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