Forms

School RIDDOR Accident and Incident Record

Record work-related deaths, specified injuries, diagnosed specified industrial diseases, dangerous occurrences and worker incapacitation, including incident details, classification, recording and reporting decisions, report references and resulting actions.

Form
CalmComplianceForm template

School RIDDOR Accident and Incident Record

Version
v1
Updated
1 October 2026
Audience
Maintained and academy primary and secondary schools in England, excluding independent schools.
Jurisdiction
england

Blank fields · read-only preview

Use this record for incidents that may fall within the supplied RIDDOR recording or reporting categories. Record the facts and the basis for the decision. Distinguish incidents that must be recorded from those that must also be reported. Complete reporting details only where the applicable reporting criteria are met.

School and record details

School name

Required

Enter the name of the maintained or academy school.

Written response

School or site reference

Enter an internal school, site or premises reference if used.

Written response

Record completed by

Required

Enter the name and role of the person completing this record.

Written response

Date record completed

Required

Enter the date on which this record was completed.

Day
Month
Year

Incident details

Date of incident or diagnosis

Required

Enter the date of the accident, dangerous occurrence, death or disease diagnosis. For a diagnosed disease, use the diagnosis date where appropriate.

Day
Month
Year

Time of incident

Enter the time if known; otherwise state that it is unknown in the incident description.

HH:MM

Location of incident

Required

Describe the school area, room, grounds or other work location.

Written response

Person affected

Required

Enter the person's name or an internal identifier in accordance with the school's information-handling arrangements.

Written response

Status of person affected

Required

Select all statuses that apply.

Choose all that apply

  • Worker
  • Pupil or student
  • Visitor or other non-worker
  • Contractor or agency worker
  • Self-employed person
  • Other

If other, please specify

Description of what happened

Required

Give a factual account of the event, including the activity being carried out, equipment or substances involved, immediate outcome and any witnesses. Do not include unsupported conclusions.

Written response

RIDDOR category and recording assessment

Potentially applicable incident category or categories

Required

Select all categories that apply based on the facts recorded above.

Choose all that apply

  • Work-related death
  • Specified injury
  • Diagnosed specified industrial disease
  • Dangerous occurrence
  • Worker incapacitated for more than three days
  • Worker incapacitated for more than seven days
  • Accident to a non-worker
  • No supplied RIDDOR category identified
  • Other

If other, please specify

Recording decision

Required

Select one decision for this record.

Choose one

  • Record as within the applicable recording categories
  • Record and assess for reporting
  • Not recorded under the supplied categories
  • Decision pending further information

Number of days a worker was incapacitated

Complete where a worker was incapacitated. Enter the number of days supported by the available information; leave blank where the field does not apply or the duration is not yet known.

Number

Minimum: 0

Basis for incapacitation assessment

Complete where worker incapacitation is relevant. Explain how the duration was established and whether it exceeded three days or seven days.

Written response

Reporting assessment

RIDDOR reporting decision

Required

Select one decision after assessing whether the incident meets the applicable reporting requirements.

Choose one

  • Report required
  • Report submitted
  • Report not required
  • Reporting assessment pending further information

Reason for reporting decision

Required

Explain the facts and category relied on for the reporting decision. If reporting was not required, explain why the applicable reporting threshold or category was not met.

Written response

Date report submitted

Complete only where a RIDDOR report was submitted.

Day
Month
Year

RIDDOR report reference

Complete only where a report was submitted. Enter the reference provided for the report.

Written response

Immediate response and resulting actions

Immediate actions taken

Required

Record first aid, emergency response, safeguarding or welfare measures, isolation of equipment or area, and notifications made, as applicable.

Written response

Resulting corrective or preventive actions

Record actions arising from the incident, including the action owner and target date where known.

Written response

Planned action review date

Enter the date for reviewing outstanding actions, where follow-up is required.

Day
Month
Year

Record reviewed by the responsible school representative

Required

Tick when the completed record and any reporting decision have been reviewed by the person responsible for the school's incident process.

  • Tick when complete

Additional notes

Add any further factual information, unresolved points or cross-references relevant to this record.

Written response

CalmCompliance · v1Template for adaptation

Template details

Type
Form
Version
v1
Updated
1 October 2026

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School RIDDOR Accident and Incident Record template - CalmCompliance