Workplace Accident Report Form (Ghana)
Workplace Accident Report Form
WORKPLACE ACCIDENT REPORT FORM — GHANA
Prepared pursuant to Section 41 of the Factories Offices and Shops Act 1970 (Act 328) and the Workmen's Compensation Law 1987 (PNDC Law 187).
Date of Report: [Report Date]
1. Employer and Workplace Details
Employer / Company Name: [Employer Name]
ORC Company Registration Number: [Employer Reg Number] | TIN: [Employer TIN]
Workplace Address: [Workplace Address]
Type of Workplace: [Workplace Type]
Report Completed By: [Safety Officer Name]
2. Injured Worker Details
Worker Name: [Worker Name]
Job Title: [Worker Job Title] | Department: [Worker Department]
Residential Address: [Worker Address]
SSNIT Number: [Worker SSNIT Number] | Length of Service: [Worker Length Of Service]
3. Accident Details
Date of Accident: [Accident Date] | Time: [Accident Time]
Location within Workplace: [Accident Location]
Description of Accident: [Accident Description]
Task Being Performed: [Task At Time Of Accident]
PPE in Use at Time of Accident: [PPE In Use]
4. Nature of Injury
Type of Injury: [Injury Type]
Body Part(s) Affected: [Body Part Affected]
Estimated Period of Incapacity: [Incapacity Duration]
Hospital / Clinic: [Hospital Name]
5. Causes and Corrective Actions
Immediate Cause: [Immediate Cause]
Root Cause(s): [Root Cause]
Corrective and Preventive Actions: [Corrective Actions]
Date Reported to Chief Inspector of Factories (DFI): [DFI Report Date] | DFI Reference: [DFI Reference Number]
Signatures
This Workplace Accident Report Form has been completed in accordance with Section 41 of the Factories Offices and Shops Act 1970 (Act 328) and the Workmen's Compensation Law 1987 (PNDC Law 187). The information recorded is accurate and complete to the best of the knowledge of the persons signing below.
Employer / Safety Officer
________________
Signature
Injured Worker (or representative)
________________
Signature
What Is a Workplace Accident Report Form (Ghana)?
A Workplace Accident Report Form in Ghana records the particulars required for the matter it documents.
Section 41 of the Factories Offices and Shops Act 1970 (Act 328) imposes a duty on the occupier of a factory, office, or shop to report to the Chief Inspector of Factories any accident that causes the death of a worker or renders any person incapable of work for more than three days. The Chief Inspector of Factories is appointed under Section 35 of Act 328 and operates within the Department of Factories Inspectorate (DFI), a division of the Ministry of Employment and Labour Relations. Failure to report a notifiable accident is an offence under Section 70 of Act 328 and may result in prosecution before the District Court.
The Labour Act 2003 (Act 651) complements Act 328 by imposing a general duty on employers to provide a safe and healthy working environment for all workers, and by requiring employers to comply with health and safety regulations issued by the Minister of Employment and Labour Relations. Section 118 of Act 651 requires every employer to take measures to prevent work-related accidents, diseases, and injuries. The National Labour Commission (NLC) established under Part XV of Act 651 may hear complaints from workers about failure to comply with safety obligations.
The Workmen's Compensation Law 1987 (PNDC Law 187) imposes strict liability on employers in Ghana for injuries, diseases, and death arising from employment. Under PNDC Law 187, an employer is liable to pay compensation regardless of fault when a worker is injured or contracts a disease in the course of and arising from employment. The compensation amounts under PNDC Law 187 — which are periodically revised by the Ministry of Employment and Labour Relations — cover temporary incapacity, permanent partial incapacity, permanent total incapacity, and death. A properly completed Workplace Accident Report Form is the foundational document for processing a compensation claim under PNDC Law 187 and for any subsequent investigation by the Department of Factories Inspectorate.
The Workplace Accident Report Form in Ghana must be distinguished from the Personal Accident Claim Form (gh-accident-claim-form), which is directed to a private insurer under a personal accident insurance policy governed by the Insurance Act 2006 (Act 724). Both forms may be required where a worker is injured at the workplace and the employer carries group personal accident insurance through an NIC-licensed insurer.
When Do You Need a Workplace Accident Report Form (Ghana)?
A Workplace Accident Report Form in Ghana is required in the following circumstances.
The Form is required immediately whenever a worker is injured, killed, or suffers an occupational disease at any factory, office, shop, or other workplace in Ghana covered by the Factories Offices and Shops Act 1970 (Act 328). Under Section 41 of Act 328, the occupier must report to the Chief Inspector of Factories within 24 hours of any accident causing death, and within 7 days for accidents rendering a person incapable of work for more than three days.
The Form is required before an employer in Ghana can process a workmen's compensation claim under the Workmen's Compensation Law 1987 (PNDC Law 187). The Department of Factories Inspectorate requires a completed accident report as the basis for assessing the employer's liability and the quantum of compensation payable to the injured worker or their dependants.
The Form is needed to comply with the employer's health and safety obligations under Section 118 of the Labour Act 2003 (Act 651), which requires employers to investigate workplace accidents and implement corrective measures. A documented investigation record demonstrates good faith compliance with Act 651 and reduces the employer's exposure in proceedings before the National Labour Commission (NLC) or the High Court (Labour Division).
The Form is required where a worker has suffered an injury and intends to claim under a group personal accident insurance policy maintained by the employer through an NIC-licensed insurer. The insurer will require the completed Workplace Accident Report Form as supporting evidence for the claim under Section 40 of the Insurance Act 2006 (Act 724).
The Form is needed when an accident at a construction site in Ghana is reportable under both the Factories Offices and Shops Act 1970 (Act 328) and the regulations of the Ghana National Fire Service Act 1997 (Act 537), where fire or explosion was a contributing cause.
Parties in Ghana should complete the Workplace Accident Report Form as soon as possible after any workplace accident, retaining copies on the employer's occupational health and safety register and providing a copy to the injured worker under the Labour Act 2003 (Act 651).
What to Include in Your Workplace Accident Report Form (Ghana)
A valid Workplace Accident Report Form in Ghana under the Factories Offices and Shops Act 1970 (Act 328) and the Workmen's Compensation Law 1987 (PNDC Law 187) must contain the following essential elements.
Employer and Workplace Details: Full legal name of the employer, company registration number issued by the Office of the Registrar of Companies (ORC) under the Companies Act 2019 (Act 992), Tax Identification Number (TIN) issued by the Ghana Revenue Authority (GRA), address and nature of the workplace (factory, office, shop, or construction site), and the name of the occupier as defined in Section 2 of the Factories Offices and Shops Act 1970 (Act 328). The employer's SSNIT employer registration number should also be recorded to support workmen's compensation processing.
Injured Worker Details: Full name, date of birth, home address, job title, department, SSNIT number, and the length of service of the injured worker. The worker's nationality and work permit details (if an expatriate employed under the Immigration Act 2000 (Act 573)) should also be recorded. The worker's SSNIT number is required to process invalidity benefit claims under the National Pensions Act 2008 (Act 766).
Accident Details: Date (DD/MM/YYYY), time, and precise location within the workplace where the accident occurred; a factual description of the sequence of events leading to the accident; the task the worker was performing at the time; and whether any personal protective equipment (PPE) was being used as required under Act 328.
Nature of Injury: Type of injury (fracture, laceration, burn, crush, amputation, poisoning, etc.), the body part or parts affected, whether the injury was fatal, and the initial medical assessment. Where the injury involved an occupational disease listed in the Schedule to PNDC Law 187, this must be specifically identified.
Immediate Cause and Root Cause: The immediate physical cause of the accident (e.g. Unguarded machinery, spillage, falling object) and the underlying root causes (e.g. Absence of risk assessment, inadequate training, failure to maintain equipment as required under Section 12 of Act 328).
Medical Treatment: Name and address of the hospital or clinic (licensed by the Ghana Health Service) where the worker was treated, the date treatment was first provided, the name of the attending physician, and whether the worker was admitted or treated as an outpatient. Treatment costs in GHS should be documented for workmen's compensation purposes under PNDC Law 187.
Witnesses: Full names and contact details of all persons who witnessed the accident or who were present at the workplace at the time.
Corrective Actions: A description of the immediate corrective actions taken following the accident (e.g. Isolation of equipment, removal of hazard) and the longer-term preventive measures planned to avoid recurrence, consistent with the employer's duties under Section 118 of the Labour Act 2003 (Act 651). Corrective actions must be documented and reviewed by the employer's safety committee, where one exists under Act 328.
Reporting to Authorities: Confirmation of whether the accident has been reported to the Chief Inspector of Factories under Section 41 of Act 328, together with the date of notification and the reference number of the DFI report. Forms-legal.com provides this template as a starting point for Ghana-compliant workplace safety documentation.
Signatures: The form must be signed by the employer or the employer's designated safety officer, and countersigned by the injured worker (or their representative if incapacitated). The date of the report and the name of the person completing the form must be clearly stated. A copy must be retained on the employer's occupational health and safety register under the Labour Act 2003 (Act 651).
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Reference this free template in an article, syllabus, or research note:
Forms Legal. (2026). Workplace Accident Report Form (Ghana) (Ghana) [Legal document template]. Forms Legal. https://forms-legal.com/ghana/employment/health-safety/workplace-accident-report-form-ghana
"Workplace Accident Report Form (Ghana) (Ghana)." Forms Legal, 2026, https://forms-legal.com/ghana/employment/health-safety/workplace-accident-report-form-ghana.
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note = {Free legal document template}
}Frequently Asked Questions
Section 41 of the Factories Offices and Shops Act 1970 (Act 328) requires the occupier of a factory, office, or shop in Ghana to report to the Chief Inspector of Factories any accident that causes the death of a person employed in the workplace, or that causes bodily injury rendering any person incapable of work for more than three days. The report must be made as soon as practicable — within 24 hours for fatal accidents and within 7 days for incapacitating accidents. The Chief Inspector of Factories, appointed under Section 35 of Act 328 within the Department of Factories Inspectorate (DFI), has the power to investigate reported accidents and, where negligence or breach of Act 328 is established, to initiate prosecution of the occupier before the District Court. Accidents involving dangerous occurrences — such as explosions, collapses of scaffolding, or the escape of toxic substances — must also be reported regardless of whether any person was injured, in accordance with the regulations made under Act 328. Employers who fail to report notifiable accidents commit an offence and are liable to a fine under Section 70 of Act 328.
The Workmen's Compensation Law 1987 (PNDC Law 187) imposes strict liability on employers in Ghana for injuries, occupational diseases, and death arising from employment. The quantum of compensation under PNDC Law 187 is determined by reference to the worker's earnings and the degree of incapacity. For permanent total incapacity, the worker is entitled to a lump sum equal to a multiple of the worker's annual earnings, subject to the maximum prescribed by the Ministry of Employment and Labour Relations. For permanent partial incapacity, the compensation is a proportion of the permanent total incapacity sum, calculated by reference to the Schedule of Injuries to PNDC Law 187, which assigns a percentage loss of earning capacity to each type of injury (e.g. Loss of an eye — a specified percentage; loss of a hand — a specified percentage). For temporary incapacity (inability to work for more than three days), the employer must pay a weekly benefit equal to a proportion of the worker's weekly earnings. In cases of death, the dependants of the deceased worker are entitled to compensation under PNDC Law 187. The employer's liability under PNDC Law 187 exists independently of any criminal liability under Act 328 or any civil claim for negligence before the High Court in Ghana.
A worker in Ghana who is injured at the workplace has both statutory and common law remedies available. Under the Workmen's Compensation Law 1987 (PNDC Law 187), the worker is entitled to statutory compensation from the employer regardless of fault. This statutory compensation is intended to provide swift relief without the need to prove negligence. In addition, the worker may bring a common law negligence claim against the employer in the High Court of Ghana, where they must prove that the employer breached a duty of care owed to the worker and that the breach caused the injury. The employer's duty of care at common law includes the duty to provide a safe system of work, competent fellow workers, safe plant and equipment, and a safe place of work. If successful in a negligence claim, the worker may recover damages for pain and suffering, loss of earnings (past and future), and medical expenses — which may exceed the capped amounts under PNDC Law 187. Employers in Ghana are strongly advised to maintain employer's liability insurance through an NIC-licensed insurer to protect against the financial consequences of workplace injury claims. The National Labour Commission (NLC) under the Labour Act 2003 (Act 651) may also hear workplace safety complaints.
Workplace safety in Ghana is governed by the Factories Offices and Shops Act 1970 (Act 328) and the Labour Act 2003 (Act 651), enforced by the Department of Factories Inspectorate (DFI) under the Ministry of Employment and Labour Relations. The DFI employs factory inspectors who are appointed under Section 35 of Act 328 and have the power to enter and inspect any factory, office, or shop in Ghana, to examine machinery and equipment, to require the production of registers and records, and to issue improvement notices and prohibition notices. Where a factory inspector finds a breach of Act 328 — such as unguarded machinery under Section 12, inadequate ventilation under Section 15, or failure to report an accident under Section 41 — the inspector may issue a prohibition notice ordering the immediate cessation of the dangerous activity, or an improvement notice requiring the breach to be remedied within a specified period. Failure to comply with a notice issued by a DFI inspector is an offence under Section 70 of Act 328, punishable by a fine. Serious breaches causing death or serious injury may be referred to the Attorney General of Ghana for prosecution in the District Court or Circuit Court.
The Social Security and National Insurance Trust (SSNIT), established under the National Pensions Act 2008 (Act 766), administers Ghana's Tier 1 mandatory pension scheme and also provides an invalidity benefit for workers who become permanently incapacitated due to a work-related or non-work-related injury or illness. Under the National Pensions Act 2008, a worker who becomes permanently invalid — defined as an incapacity to engage in any gainful employment — and who has made sufficient SSNIT contributions (at least 12 months of contributions) is entitled to an invalidity pension from SSNIT. The SSNIT invalidity benefit is separate from and additional to the compensation payable by the employer under the Workmen's Compensation Law 1987 (PNDC Law 187). Employers are reminded that the Workplace Accident Report Form must record the injured worker's SSNIT number to enable the filing of an invalidity benefit claim with SSNIT. Employers who have failed to register workers with SSNIT or to remit contributions under Act 766 may face additional liability if the worker's entitlement to SSNIT invalidity benefits is prejudiced by the employer's non-compliance. The National Pensions Regulatory Authority (NPRA) supervises SSNIT and Tier 2 fund managers in Ghana.
This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer
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