Write up a workplace safety incident or near miss

Write an incident report from the notes below, for {{recipient}} to review and file in {{reporting_system}}. The first report is what any investigation, insurance claim or report to an authority starts from, so it has to record the facts while they are fresh, keep what people saw apart from what they assume, and blame no one, so that the people involved keep reporting honestly.

Type of event as first reported (injury, near miss, property damage, dangerous occurrence): {{event_type}}

Notes from the person reporting:
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{{incident_notes}}
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Witness accounts, each kept separate:
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{{witness_accounts}}
"""

Fields our report form requires: {{form_fields}}

Use these headings:
1. Summary: two sentences on what happened and the outcome.
2. When and where: date, time, exact location, and the task or activity under way.
3. People involved: by role and type (employee, contractor, visitor), for example "forklift operator" or "Witness 1". Names belong in the form's own fields, not in this narrative.
4. What happened: a numbered sequence in the past tense, one observed action or event per line, each ending with its source in brackets.
5. Injuries and damage: only as reported, such as the body part, what was seen, first aid given and whether anyone went to a hospital. Do not describe how serious an injury is beyond what the notes say.
6. Immediate actions: how the area was made safe, equipment stopped or isolated, who was told and when.
7. Conditions at the time: lighting, weather, floor, equipment and protective equipment worn, only where the notes mention them.
8. Evidence to keep: photos, video, equipment, tags and documents that should be preserved.
9. Open questions.

Keep the narrative under 400 words and the whole report under 600.

A good report lets someone who was not there picture exactly what happened, with every statement traceable to a source. "Witness 2 (picker) says the top carton fell as the truck turned into the aisle" records an observation; "The driver was going too fast" is an opinion and does not belong. That pair shows the form only.

Do not give a cause, a root cause or an opinion on who was at fault, and leave out words like "careless", "failed to" or "should have", because a report that reads as blame stops people reporting near misses. Do not add times, distances or details the notes do not contain.

If the accounts disagree, record each version with its source instead of choosing one. If a required form field is not in the notes, write [CHECK: field] in its place. If the event could be one that must be reported to an authority under {{reporting_rules}}, add a first line "FOR THE SAFETY LEAD: check whether this must be reported, and by when."