Forms

RIDDOR accident and incident record

Record qualifying work-related accidents, diagnosed specified industrial diseases and dangerous occurrences, including incident details, worker incapacitation, RIDDOR classification, reporting decision, submitted report reference and retained evidence.

Form
CalmComplianceForm template

RIDDOR accident and incident record

Version
v1
Updated
7 October 2026
Reviewed
7 October 2026
Audience
Primary and secondary schools in England, including maintained schools and academies, excluding independent schools.
Jurisdiction
england

Blank fields · read-only preview

Complete this record for a work-related incident that falls within a RIDDOR recording or reporting category. Record accidents resulting in worker incapacitation for more than three days, and assess whether the more-than-seven-day reporting threshold or another RIDDOR category applies.

Incident identification

School incident reference

Required

Enter the school's internal reference for this record.

For example, HSE-2025-001

Date of incident

Required

Enter the date on which the incident occurred.

Day
Month
Year

Time of incident

Record the time if known. Include the time zone or local convention if needed.

For example, 10:35

Location of incident

Required

State the school site, building, room, grounds or other relevant location.

For example, science laboratory, main building

What happened?

Required

Give a factual description of the incident, including the work activity, circumstances, immediate outcome and any known contributing conditions.

Describe the incident factually

Incident category or categories

Required

Select every category that applies. Use the available categories to classify the incident for recording and assessment.

Choose all that apply

  • Work-related accident causing a death
  • Work-related accident causing a specified injury
  • Worker incapacitated for more than seven days
  • Worker incapacitated for more than three days
  • Diagnosed specified industrial disease
  • Dangerous occurrence
  • Accident involving a non-worker or member of the public
  • Other incident requiring RIDDOR assessment
  • Other

If other, please specify

Affected person

Status of affected person

Required

Select the status that applies to the person affected by the incident.

Choose one

  • School employee
  • Contractor or agency worker
  • Volunteer
  • Pupil
  • Visitor or member of the public
  • Other
  • Other

If other, please specify

Name of affected person

Required

Record the name of the person affected, subject to the school's information-handling arrangements.

Full name

Role or relationship to the school

State the person's job role, pupil status, contractor role or other relevant relationship.

For example, teaching assistant

Worker incapacitation

Was a worker incapacitated after the incident?

Complete this where the affected person is a worker. Select the applicable period, including absence beyond the day of the accident where relevant.

Choose one

  • No incapacitation
  • Three days or fewer
  • More than three days
  • More than seven days
  • Not yet known

Date worker incapacitation began

Complete if a worker was incapacitated and the start date is known.

Day
Month
Year

Number of days of worker incapacitation

Enter the number of days known at the time of this record. Update the record if the period changes.

Number

Minimum: 0 · Maximum: 100000

Date worker returned to work or incapacitation ended

Complete when known. Leave blank if the period is ongoing or not known.

Day
Month
Year

RIDDOR classification and decision

RIDDOR classification details

Explain the classification selected, including the specified injury, industrial disease or dangerous occurrence details where applicable.

Provide classification details

Reporting decision

Required

Record the outcome of the school's assessment of whether the incident requires a RIDDOR report.

Choose one

  • Report required
  • Report submitted
  • Record retained; no RIDDOR report required
  • Not within a RIDDOR category
  • Assessment pending
  • Unable to determine from information currently available

Date of reporting assessment or decision

Required

Enter the date on which the reporting assessment or decision was made.

Day
Month
Year

Person making or recording the decision

Required

Enter the name and role of the person who made or recorded the reporting assessment.

Name and role

Date RIDDOR report was submitted

Complete only if a RIDDOR report was submitted.

Day
Month
Year

Submitted report reference

Complete only if a RIDDOR report was submitted. Enter the reference shown for the submitted report.

Report reference

Evidence and follow-up

Retained evidence and records

List the evidence retained with this record, such as witness accounts, photographs, investigation notes, medical information or correspondence. Do not upload files through this form.

List retained evidence and where it is stored

Immediate actions taken

Required

Record actions taken after the incident, such as first aid, securing the area, contacting relevant people or preserving evidence.

Describe immediate actions

Further actions or review required

Record any investigation, control review, notification, monitoring or follow-up actions that remain outstanding.

Describe further actions and responsible roles

I have reviewed this record for completeness

Required

Confirm that the incident category, worker incapacitation information where applicable, reporting decision and retained evidence have been recorded or marked as pending.

  • Tick when complete
CalmCompliance · v1Template for adaptation

Template details

Type
Form
Version
v1
Updated
7 October 2026
Reviewed
7 October 2026

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