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Workplace Accident Report (Pakistan)

Workplace Accident Report (Pakistan)

WORKPLACE ACCIDENT REPORT

Under Section 88, Factories Act 1934 | Workmen's Compensation Act 1923

Report Date: [Report Date]

City: [Report City]

TO:

The Chief Inspector of Factories

Provincial Labour Department

PART A — ESTABLISHMENT PARTICULARS

Name of Factory / Establishment: [Establishment Name]

Factory Address: [Establishment Address]

Factory Registration No.: [Factory Reg Number]

Occupier / Manager: [Occupier Name]

Workers Employed at Time of Accident: [Number Of Workers]

Nature of Manufacturing Process: [Nature Of Process]

PART B — INJURED WORKER PARTICULARS

Name: [Worker Name]

CNIC No.: [Worker CNIC]

Age: [Worker Age]

Designation / Department: [Worker Designation]

Monthly Wages: PKR [Worker Monthly Wages]

Next of Kin: [Next Of Kin]

PART C — ACCIDENT DETAILS

Date of Accident: [Accident Date]

Time of Accident: [Accident Time]

Location in Factory: [Accident Location]

Type of Accident: [Accident Type]

Description of Accident:

[Accident Description]

PART D — INJURY AND MEDICAL TREATMENT

Nature of Injury: [Injury Description]

Schedule I Reference (WCA 1923): [Injury Schedule Item]

First Aid Given: [First Aid Given]

Hospital / Clinic: [Hospital Name]

Expected Absence from Work: [Worker Absence Expected]

PART E — WITNESSES AND CAUSES

Witnesses:

[Witness Names]

Immediate Cause:

[Immediate Cause]

Root Cause / Contributing Factors:

[Root Cause]

Corrective and Preventive Actions:

[Preventive Actions]

CERTIFICATION

I, [Occupier Name], Occupier / Manager of [Establishment Name], hereby certify that the information provided in this Workplace Accident Report is true and accurate to the best of my knowledge and that this report is submitted in compliance with Section 88 of the Factories Act 1934.

Signature: _________________________

Name and Designation: [Occupier Name]

Date: [Report Date]

Company Seal: _________________________

Occupier / Factory Manager

________________

Signature

Safety Officer (if applicable)

________________

Signature

Maintained by Vladislav Sergienko, Founder·Template last modified: ·Report an error

What Is a Workplace Accident Report (Pakistan)?

A Workplace Accident Report in Pakistan captures the information the relevant authority needs for the matter it concerns and creates a dated written record of what was submitted.

The Factories Act 1934 — which applies to factories as defined in Section 2(j) of the Act as any premises where manufacturing processes are carried on using power and where ten or more workers are employed — imposes mandatory accident reporting obligations on the occupier (the person in charge of the establishment). Section 88 of the Factories Act 1934 requires the occupier to give notice in writing to the Chief Inspector of Factories within forty-eight hours of any accident occurring in the factory that causes death, or any accident that causes a bodily injury that prevents the person from working for more than forty-eight hours. Section 89 of the Factories Act 1934 extends reporting obligations to dangerous occurrences — events specified in the Third Schedule to the Act, such as collapse of a crane, explosion of a receiver under pressure, or fire involving flammable material — even if no injury results.

At the provincial level, the four provincial labour departments — Punjab Labour Department, Sindh Labour Department, Khyber Pakhtunkhwa Labour Department, and Balochistan Labour Department — administer and enforce the Factories Act 1934 through the office of the Chief Inspector of Factories and district Factory Inspectors. Following the 18th Constitutional Amendment (2010), labour is a concurrent subject under the Fourth Schedule of the Constitution of Pakistan 1973, and provinces have enacted supplementary legislation. Punjab has enacted the Punjab Occupational Safety and Health Act 2019 (POSH Act 2019), which updates and expands on the Factories Act 1934 requirements for accident reporting, investigation, and employer liability within Punjab.

The Workmen's Compensation Act 1923 — still operative in Pakistan — provides compensation to workers or their dependants for death or permanent disablement caused by an accident arising out of and in the course of employment. Sections 3 to 5 of the Workmen's Compensation Act 1923 define the liability of the employer, the categories of compensable injury (Schedule I lists injuries and their corresponding loss of earning capacity percentages), and the method of calculating compensation based on the worker's monthly wages. The Workplace Accident Report is the foundational document for initiating a compensation claim under the Workmen's Compensation Act 1923 before the Commissioner for Workmen's Compensation, who is typically the District Officer (Labour) in each district.

The Workplace Accident Report also interfaces with the Employees Old-Age Benefits Institution (EOBI) under the Employees Old-Age Benefits Act 1976 for invalidity pension claims, the Social Security institutions of provinces under provincial Employees Social Security Ordinances for medical treatment and injury benefits, and the Workers Welfare Fund under the Workers Welfare Fund Ordinance 1971 for disability grant applications. A properly prepared Workplace Accident Report is therefore the starting point for multiple parallel welfare and compensation claims on behalf of an injured worker.

When Do You Need a Workplace Accident Report (Pakistan)?

A Workplace Accident Report in Pakistan is required in several mandatory and precautionary circumstances following any workplace incident.

A Workplace Accident Report is mandatorily required under Section 88 of the Factories Act 1934 whenever an accident in a factory causes death or prevents a worker from working for more than forty-eight hours. The occupier must send written notice to the Chief Inspector of Factories within forty-eight hours of the accident. Failure to report is an offence under Section 92 of the Factories Act 1934, punishable by fine. The report triggers an investigation by the Factory Inspector and the occupier's insurance carrier.

A Workplace Accident Report is required for dangerous occurrences under Section 89 of the Factories Act 1934, even where no injury results. The Third Schedule to the Factories Act 1934 lists dangerous occurrences — including collapse of lifting equipment, bursting of pressure vessels, electrical explosions, and fires involving hazardous materials — that must be reported regardless of personal injury outcome.

A Workplace Accident Report is required when a worker wishes to claim compensation under the Workmen's Compensation Act 1923. The injured worker or their dependants must present the report when filing a compensation claim before the Commissioner for Workmen's Compensation (District Officer Labour) in the relevant district. Without a documented Workplace Accident Report, the worker faces difficulty establishing that the injury arose out of and in the course of employment as required by Section 3 of the Workmen's Compensation Act 1923.

A Workplace Accident Report is required when an injured worker claims medical treatment and injury benefits from the relevant provincial Employees Social Security Institution — the Punjab Employees Social Security Institution (PESSI), the Sindh Employees Social Security Institution (SESSI), or counterparts in KPK and Balochistan. The report serves as evidence of the workplace origin of the injury.

A Workplace Accident Report is required when an employer's liability insurer is notified of the claim. Commercial insurers providing employer's liability and workmen's compensation insurance require a completed accident report within twenty-four to forty-eight hours of the incident as a condition of indemnity.

A Workplace Accident Report is also required under the Punjab Occupational Safety and Health Act 2019 in Punjab for any reportable incident — including near-misses that did not result in injury — as part of the employer's ongoing health and safety management obligations, to be maintained in the establishment's accident register inspectable by POSH inspectors.

What to Include in Your Workplace Accident Report (Pakistan)

A valid Workplace Accident Report in Pakistan under the Factories Act 1934 and the Workmen's Compensation Act 1923 must contain the following essential elements to satisfy the Chief Inspector of Factories, labour courts, and insurance companies.

Establishment Particulars: Full legal name and address of the factory or industrial establishment, the occupier's name and designation, the Factory Registration Number issued by the Chief Inspector of Factories under Section 6 of the Factories Act 1934, the nature of the manufacturing process carried on, and the number of workers employed at the time of the accident. These details identify the establishment and establish the regulatory jurisdiction — provincial Chief Inspector of Factories for Punjab, Sindh, KPK, or Balochistan.

Injured Worker Particulars: Full name of the injured worker as per NADRA CNIC, CNIC number, designation and department, date of joining, monthly wages (for Workmen's Compensation Act 1923 calculations), and age. For fatal accidents, the worker's next of kin must be identified with their names, relationship, and contact details.

Accident Details: The precise date, time, and location within the factory (department, section, machine number) where the accident occurred. The nature of the accident must be described — whether it was a machinery accident, fall from height, chemical exposure, electrical contact, collapse of structure, fire, or explosion — and the specific mechanism of injury must be stated clearly.

Nature of Injury: A description of the injury sustained — fracture, laceration, burn, amputation, crush injury, asphyxiation, or fatal — and the body part(s) affected. For Schedule I injuries under the Workmen's Compensation Act 1923, the relevant item number should be identified, as this determines the percentage of loss of earning capacity and the resulting compensation amount.

First Aid and Medical Treatment: Details of immediate first aid administered on site, name of the factory's medical officer or first-aider who attended, and the hospital or clinic to which the worker was referred — including the name of the treating hospital (government hospital or private clinic recognised by the provincial Social Security Institution). The CNIC of the factory first-aider should be stated.

Witness Details: Names, CNIC numbers, and designations of any workers or supervisors who witnessed the accident. Witness testimony is critical in disputed compensation claims before the Commissioner for Workmen's Compensation and in disciplinary proceedings against supervisors.

Immediate Cause and Root Cause Analysis: A preliminary analysis of the immediate cause of the accident (e.g., machine guard not in place, wet floor without warning signs, overloading of lifting equipment) and the root cause or contributing factors (e.g., failure to follow standard operating procedure, inadequate training, maintenance backlog). The Punjab Occupational Safety and Health Act 2019 requires documented root cause analysis for reportable accidents in Punjab.

Preventive Actions Taken: Steps taken immediately after the accident to prevent recurrence — machine isolation, area cordoning, equipment inspection — and planned longer-term corrective actions with responsible persons and completion dates. This section demonstrates the employer's commitment to health and safety compliance and mitigates regulatory penalties.

Forms-legal.com provides this Workplace Accident Report (Pakistan) template as a practical starting point for employers discharging their statutory reporting obligations under Section 88 of the Factories Act 1934. Occupiers should maintain a permanent accident register at the factory, accessible to Factory Inspectors during inspections under Section 9 of the Factories Act 1934. Employers in Punjab should additionally comply with the Punjab Occupational Safety and Health Act 2019 requirements, which impose broader reporting and investigation obligations beyond the Factories Act 1934 minimum.

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APA

Forms Legal. (2026). Workplace Accident Report (Pakistan) (Pakistan) [Legal document template]. Forms Legal. https://forms-legal.com/pakistan/employment/health-safety/workplace-accident-report-pakistan

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BibTeX
@misc{formslegal-workplace-accident-report-pakistan,
  author       = {{Forms Legal}},
  title        = {Workplace Accident Report (Pakistan) (Pakistan)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/pakistan/employment/health-safety/workplace-accident-report-pakistan}},
  note         = {Free legal document template}
}

Frequently Asked Questions

Statute-referenced template — Template last modified June 2026

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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