Farm Safety & Emergency Preparedness
Farm Accident Report Form
A farm accident report form for owners to record what happened, who was hurt, where and when, and the follow-up so lessons are learned and records are kept.
Download free PDF1 page, US Letter, prints clean in black and white
FormFarm Safety & Emergency PreparednessFree PDF
What you fill in
- Date, time, and location
- Person involved and role
- Description of what happened
- Injuries or damage
- Equipment or animal involved
- Witnesses
- First aid or care given
- Emergency services called
- Reported by and signed
How to use this form
Print one per event, animal, field or person. A completed form on file is easier to rely on than a memory.
Where to check the details
This sheet is a general template, so confirm specifics with your own manuals, labels and local rules. For current official guidance, start with OSHA and eXtension.
For more in this area, see the printable farm safety sheets. Between chores, farm.FM has farm humor, including Dairy Farm Milk Quality Report Gives Cows Five Stars and the Farmer’s Bank Account One, and farming farm stories.