Workplace Incident Witness Contact Log (PDF)

Keep a concise record of witnesses, outreach attempts, and preferred contact methods for incident follow-up.

Incident header

Summarize the incident and who prepared this witness list.

Case title

Incident date

Workplace

Location

Prepared by

Record witness details and outreach status.

Witness 1

Witness name

Job title

Department

Phone

Contacted

Contact date

Preferred contact method

Notes

The PDF saves locally for sharing or attaching to case files.