Use our readymade template to create this Google form. Customize it further using our form builder.
Build your accident investigation form with Google Forms
- Use our prebuilt template to create your accident investigation form
- Collect legally binding signatures from the investigator, supervisor, and EHS manager
- Capture investigator details such as Name, Email, and Job Title
- Record accident details such as Accident Date, Department, Location, and Victim Name
- Document the sequence of events, causes, and corrective actions
Collect digital signatures seamlessly
- Embed the form on your website or use the share link to collect responses
- Provide a user-friendly, secure and seamless signing experience
- Enable investigators, supervisors, and EHS managers to sign and submit the form from any device
- Send a confirmation email with the signed copy of the accident investigation form
- Allow users to save progress & complete the accident investigation form later
Track signed responses in Google Sheets and Drive
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Investigator Name | Accident Date | What happened? | What caused the accident? | Signed PDF |
| 2 | John Doe | 2025-08-08 | The employee slipped on a wet floor while carrying heavy equipment. | The floor was wet due to a leaking pipe. The employee was not wearing slip-resistant shoes. | Signed PDF |
| 3 | Jane Smith | 2025-08-07 | A forklift tipped over while moving a heavy load. | The forklift was overloaded and the operator was not adequately trained. | Signed PDF |
| 4 | James Johnson | 2025-08-06 | An employee suffered a burn from a chemical spill. | The chemical container was not properly sealed and the employee was not wearing appropriate PPE. | Signed PDF |
| 5 | Emily Davis | 2025-08-05 | An employee fell from a ladder while performing maintenance work. | The ladder was not properly secured and the employee was not using a safety harness. | Signed PDF |
| 6 | Robert Brown | 2025-08-04 | A machine malfunctioned, injuring an operator. | The machine was not properly maintained and the operator did not follow safety procedures. | Signed PDF |
| 7 | Mary Williams | 2025-08-03 | An employee was struck by a falling object in the warehouse. | The object was not properly secured and the warehouse was poorly lit. | Signed PDF |
| 8 | William Jones | 2025-08-02 | An employee was exposed to harmful fumes in the lab. | The ventilation system was not working properly and the employee was not wearing a respirator. | Signed PDF |
| 9 | Patricia Miller | 2025-08-01 | An employee was injured while operating a power tool. | The power tool was defective and the employee was not trained to use it safely. | Signed PDF |
| 10 | Joseph Wilson | 2025-07-31 | An employee was injured in a vehicle accident on the company premises. | The vehicle was not maintained and the driver was not following traffic rules. | Signed PDF |
| 11 | Linda Moore | 2025-07-30 | An employee was injured during a fire drill. | The fire drill was not properly organized and the employee was not briefed on safety procedures. | Signed PDF |
- Sync the signed accident investigation form to your Google Drive for record keeping
- Easily track and manage your form responses using the Kanban board
- Automatically receive a copy of the signed accident investigation form by email
- Sync form responses with signatures to Google Sheets for further analysis
- Notify your team by email when an accident investigation form is submitted
These reviews are reproduced without modification from Google Workspace Marketplace.
May 30, 2025
Besides the fact that one gets billed $216 monthly, Support took a long time to try and get things to work. Trying to get things signed on a form was such an issue and through out formatting. Way over priced, support that you have to wait till the next day to get one thing sorted and not sorted, back and forth the whole time. Frustrating customers and damage to business. I will not reccommend this company to anyone. Try JotForms so much better, and you can do much more for a fraction of the cost per year not per month.
— Francois Ohsiek
June 3, 2025
Hi Francois, sorry you had a frustrating experience with the formatting. Just to clarify, the plan you’re on is $216 per year, not per month. You signed up for the Formesign Esignature paid plan on May 8, 2024, and since you also needed to sign agreements, we provided access to our Formesign - Fillable PDF add-on at no extra cost. Regarding formatting: when working with Google Docs templates, we recommend using lists instead of indents and setting up layouts with tables for images, rather than inserting images directly. This helps maintain proper formatting. To assist, we also created and shared a sample template as a reference. You had asked us to make edits on your behalf, which we’re not able to do for security reasons. However, we did reach out and invited you to join a scheduled Zoom call to walk through the process — as we’ve done several times over the past year — but we didn’t receive a response. Update: To make things easier for all users, we have just launched the new document editor in Formesign that will allow agreements to be created directly, without relying on Google Docs.
— Formfacade
July 23, 2023
I am not tech savvy. I chose formesign to help create registration links for clients. Vipid has been great in assisting me. He goes above and beyond. My company now has moved from the stone age to modern age through the ability to use this feature. Of the many features I am impressed with, the ability to update a form without needing to regenerate a link is amazing. I often make mistakes and that ability allows me to fix mistakes without needing to change everything. Thank you!!!
— Sol Evans
July 12, 2023
It very friendly to used. I love it. For my case multiple signature needed. it's supporting
— Senthil Kumar
February 16, 2024
Does not work
— Myles Sicuro
November 27, 2023
Yeah this is good for all
— luqman Khan
July 10, 2023
We were looking for a way to have a signature option in our form. Formesign addon allowed us to collect signatures for the acknowledgment and consent forms. It was simple and easy to setup. Very useful addon for google forms.
— Joan S