Workplace Injury Incident Log PDF (Free Template)

A clear injury log helps you prove what happened, when it happened, and how your employer responded. Use this free PDF to keep everything in one place.

When to use this

• You’ve been injured at work and need documentation for a workers’ comp claim.
• You’re tracking repeated safety issues, broken equipment, or unsafe conditions.
• You want a timeline to share with HR, OSHA, a union rep, or an attorney.

How to do it (fast)

1. Enter your name, employer, and contact details at the top of the form.
2. Log each incident with date, time, exact location, injury type, and body part affected.
3. Add who witnessed it, who you notified, what medical treatment you received, and any photos or documents you kept.
4. Download the PDF and share it with HR, a medical provider, workers’ comp, or your attorney.

Why this helps

• Details fade over time; a contemporaneous log preserves what happened in your own words.
• Supervisors and adjusters change—your documentation stays consistent.
• Organized notes make it easier for HR, OSHA, or a lawyer to understand patterns and safety gaps.

Related tools

• Workplace Harassment Incident Log PDF
• Workplace Harassment & Retaliation Log PDF
• Medical Appointment & Symptom Log PDF

Not legal advice. Courts set their own rules. Keep your original records.