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Supermarket Incident Report Form

Supermarkets · Safety & Compliance · Basic

Complete within the same shift as the incident. Be factual. Take photos of the scene and conditions. Preserve CCTV footage.

20 items 10-15 minutes 302 downloads Download PDF Use in App
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An incident report form for supermarket managers to document any incident involving staff, customers, or visitors — slip-and-fall injuries, shelf collapses, trolley injuries, equipment accidents, product-related incidents, and property damage. Captures who, what, when, where, witnesses, and follow-up actions.

Supermarkets have high foot traffic and numerous hazards. Customer slip-and-falls are the most common claim. This form creates the contemporaneous record that insurers and solicitors rely on when claims are made months later.

This checklist template is provided as a general-purpose resource and is not tailored to the regulatory requirements of any specific country, region, or jurisdiction. It is the responsibility of each organisation to review and adapt this template to ensure compliance with all applicable local laws and regulations. Miratag does not accept liability for any inaccuracies or omissions, or for any actions taken based on this template.

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