Farm Machinery Accident Report Form
An accident report form for farm machinery incidents that records who was involved, what happened, and what changes will help prevent a repeat.
Download free PDF1 page, US Letter, prints clean in black and white
FormMachinery & EquipmentFree PDF
What you fill in
- Date, time, and location of the accident
- Machine and implement involved
- Names of people involved
- Names of witnesses
- Description of what happened
- Injuries and care provided
- Damage to property or equipment
- Conditions such as weather and ground
- Corrective actions and who is responsible
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 USDA.
For more in this area, see the Tractor and Equipment Guide. 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.