Incident Report Form (Singapore)
WORKPLACE INCIDENT REPORT
Prepared under the Workplace Safety and Health Act 2006 (WSH Act) and WSH (Incident Reporting) Regulations
iReport Reference: [iReport No]
Employer: [Employer Name] (UEN: [Employer UEN])
Workplace Address: [Workplace Address]
1. INJURED / AFFECTED PERSON
Name: [Injured Name]
NRIC/FIN/Work Permit: [Injured NRIC]
Job Title: [Job Title]
Employment Type: [Employment Type]
Years of experience: [Years Experience]
2. INCIDENT DETAILS
Date of incident: [Incident Date]
Time of incident: [Incident Time]
Type of incident: [Incident Type]
Notifiable accident (WSH Act): [Is Notifiable]
Description of incident:
[Incident Description]
Nature of injury / illness:
[Injury Description]
3. INVESTIGATION AND CORRECTIVE ACTIONS
Immediate cause:
[Immediate Cause]
Root / underlying cause:
[Root Cause]
Corrective actions taken or planned:
[Corrective Actions]
4. REGULATORY OBLIGATIONS
Under the WSH (Incident Reporting) Regulations, employers must report notifiable accidents to the Ministry of Manpower (MOM) via the iReport system within 10 days of the accident. For accidents resulting in death or permanent incapacity, the employer must also notify MOM by the fastest means within 1 day (24 hours). Failure to report is an offence under the WSH Act.
This incident report has been prepared by [Reported By] on [Report Date].
Reporting Officer
________________
Signature
Date: ________________
Supervisor / Manager
________________
Signature
Date: ________________
What Is a Incident Report Form (Singapore)?
An Incident Report Form in Singapore sets out the information or analysis it captures for compliance or operational use.
The Workplace Safety and Health Act 2006 (Cap. 354A) — Singapore's principal workplace safety statute replacing the Factories Act 1973 — imposes duties on employers, self-employed persons, principals, occupiers, and persons who create safety risks at workplaces. Section 12 of the WSHA requires every employer to take reasonably practicable measures to confirm the safety and health of employees at work. Section 20 requires employers to keep records of accidents, dangerous occurrences, and occupational diseases, and to report prescribed incidents to the Commissioner for Workplace Safety and Health (CWSH) within the timeframes specified in the Workplace Safety and Health (Incident Reporting) Regulations.
The Work Injury Compensation Act 2019 (WICA, No. 27 of 2019) — which replaced the Work Injury Compensation Act (Cap. 354) — establishes the compensation framework for employees who suffer work-related injuries or diseases. Under WICA, employers must notify MOM of any work injury within 10 days of the accident (or within 10 days of the employer becoming aware of an occupational disease diagnosis). The incident report form serves as the employer's internal record and the basis for the mandatory notification to MOM through the iReport system.
Singapore's workplace safety framework is enforced through MOM's Occupational Safety and Health Division (OSHD), which conducts workplace inspections, investigates reported incidents, and issues enforcement notices (improvement notices, stop-work orders, and composition fines) under the WSHA. The Workplace Safety and Health Council (WSHC) — a national body established by MOM to promote workplace safety culture — publishes industry-specific codes of practice, technical advisory documents, and incident investigation guidelines that inform the content and structure of incident report forms.
For workplaces in the construction, marine, and process industries, the Workplace Safety and Health (Construction) Regulations, Workplace Safety and Health (Shipyard) Regulations, and Workplace Safety and Health (Major Hazard Installations) Regulations impose additional incident reporting requirements and investigation standards. Registered Workplace Safety and Health Officers (WSHOs) and Workplace Safety and Health Coordinators (WSHCs) — certified by MOM-approved training providers — are responsible for maintaining incident records and coordinating with MOM on incident investigations.
The Work Injury Compensation Act 2019 (WICA) establishes a no-fault compensation framework — injured employees do not need to prove employer negligence to receive compensation for work-related injuries. WICA compensation covers medical expenses (up to S$45,000 for non-surgical and surgical cases), medical leave wages (up to S$3,500 per month for a maximum of 365 days), and lump sum compensation for permanent incapacity (up to S$289,000) or death (up to S$204,000). Employers must maintain work injury insurance covering all employees — failure to maintain WICA insurance is a criminal offence under Section 23 of WICA, carrying fines up to S$10,000 and imprisonment up to 12 months.
When Do You Need a Incident Report Form (Singapore)?
An Incident Report Form is needed whenever a workplace accident, dangerous occurrence, or occupational disease occurs at a Singapore workplace, triggering the employer's statutory reporting obligations under the Workplace Safety and Health Act 2006 (Cap. 354A) and the Work Injury Compensation Act 2019.
Fatal and major injuries require immediate reporting. Under the Workplace Safety and Health (Incident Reporting) Regulations, employers and occupiers must notify MOM of any work-related death within the workplace immediately (by telephone to MOM's Emergency Helpline) and submit a written report through MOM's iReport system within 10 days. Major injuries — including amputations, fractures, loss of sight, chemical burns, and injuries requiring hospitalisation for more than 24 hours — must be reported to MOM within 10 days of the incident.
Minor injuries that result in the employee's incapacity for work for more than three consecutive days (excluding the day of the accident) must be reported to MOM within 10 days under the Workplace Safety and Health (Incident Reporting) Regulations. The incident report form captures the details required for the iReport submission, including the injured person's particulars, the circumstances of the accident, and the immediate actions taken.
Dangerous occurrences — events that could have caused serious injury or death, even if no injury actually occurred — must be reported to MOM. The Workplace Safety and Health (Incident Reporting) Regulations prescribe specific categories of dangerous occurrences including: collapse of scaffolding, crane overturning, electrical contact with high-voltage equipment, uncontrolled release of hazardous substances, and structural failures. Reporting dangerous occurrences allows MOM's OSHD to investigate systemic hazards before they cause injuries.
Occupational diseases diagnosed by a registered medical practitioner must be reported to MOM by the employer within 10 days of the employer becoming aware of the diagnosis. The Workplace Safety and Health (Medical Examinations) Regulations and the Work Injury Compensation Act 2019 list prescribed occupational diseases — including noise-induced hearing loss, occupational asthma, chemical poisoning, and musculoskeletal disorders — that trigger mandatory reporting and WICA compensation eligibility.
Near-miss incidents — events that did not result in injury but had the potential to cause harm — should be documented through the incident report form as part of the workplace's safety management system, even where statutory reporting to MOM is not required. The Workplace Safety and Health Council (WSHC) recommends that employers maintain a near-miss reporting culture to identify and address hazards proactively.
What to Include in Your Incident Report Form (Singapore)
An Incident Report Form compliant with Singapore's Workplace Safety and Health Act 2006 (Cap. 354A), the Workplace Safety and Health (Incident Reporting) Regulations, and the Work Injury Compensation Act 2019 must contain the following elements.
Employer details require the company's full registered name, ACRA Unique Entity Number (UEN), registered address, workplace address (if different), industry classification under the Singapore Standard Industrial Classification (SSIC), and the name and contact details of the company's designated safety officer — a Workplace Safety and Health Officer (WSHO) registered with MOM, or a Workplace Safety and Health Coordinator (WSHC) for smaller workplaces.
Injured/affected person details require the full legal name, NRIC or FIN number, date of birth, nationality, gender, job title, department, date of employment commencement, employment type (permanent, contract, part-time, or temporary), work pass type and number (for foreign workers on Work Permit, S Pass, or Employment Pass), and the person's regular working hours and shift pattern.
Incident details must record: the date and time of the incident (24-hour format), the exact location within the workplace (building, floor, room, machine station), the type of incident (accident, dangerous occurrence, occupational disease, or near-miss), a factual narrative describing what happened (chronological sequence of events), the activity the injured person was performing at the time, the machinery, equipment, or substances involved (with manufacturer, model, and serial number where applicable), the nature of the injury (fracture, laceration, burn, crush, amputation, sprain), the body part affected, and the immediate medical treatment administered.
Root cause analysis must document the investigation findings: the immediate cause of the incident (unsafe act or unsafe condition), the contributing factors (inadequate training, equipment failure, environmental hazard, procedural deficiency), and the root cause (management system failure, inadequate risk assessment, insufficient supervision). MOM's Workplace Safety and Health Council (WSHC) recommends using structured investigation methodologies such as the Five Whys analysis, Fishbone (Ishikawa) diagram, or Fault Tree Analysis.
Corrective and preventive actions must list the actions taken to: (1) address the immediate hazard and prevent recurrence; (2) review and update the workplace risk assessment under the Workplace Safety and Health (Risk Management) Regulations; (3) revise safe work procedures and method statements where necessary; (4) retrain affected workers; and (5) implement engineering controls, administrative controls, or personal protective equipment (PPE) measures. Each corrective action should have an assigned responsible person, target completion date, and follow-up verification method.
WSH obligations section should reference the employer's statutory obligations under the WSHA: the duty to report the incident to MOM through iReport within the prescribed timeframe (immediate for fatalities, 10 days for other prescribed incidents), the duty to preserve the accident scene (for fatal and major incidents, until released by MOM inspectors), and the duty to cooperate with MOM's investigation. The forms-legal.com Incident Report Form template covers all MOM iReport fields, root cause analysis sections, and corrective action tracking provisions for Singapore workplace incident documentation.
Medical documentation must record the name and registration number of the attending medical practitioner or hospital, the date and time of first medical attention, the medical diagnosis, the nature and extent of injuries sustained, the medical leave (MC) duration issued, whether hospitalisation was required and its duration, and the prognosis for recovery. Medical reports from hospitals and clinics regulated by the Private Hospitals and Medical Clinics Act 1980 (Cap. 248) and public restructured hospitals form part of the WICA claim documentation submitted to MOM.
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Reference this free template in an article, syllabus, or research note:
Forms Legal. (2026). Incident Report Form (Singapore) (Singapore) [Legal document template]. Forms Legal. https://forms-legal.com/singapore/employment/health-safety/incident-report-form-singapore
"Incident Report Form (Singapore) (Singapore)." Forms Legal, 2026, https://forms-legal.com/singapore/employment/health-safety/incident-report-form-singapore.
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author = {{Forms Legal}},
title = {Incident Report Form (Singapore) (Singapore)},
year = {2026},
howpublished = {\url{https://forms-legal.com/singapore/employment/health-safety/incident-report-form-singapore}},
note = {Free legal document template. Based on Employment Act 1968 (Cap. 91)}
}Also available for these jurisdictions:
Frequently Asked Questions
The Workplace Safety and Health (Incident Reporting) Regulations, made under the Workplace Safety and Health Act 2006 (Cap. 354A), prescribe the following categories of incidents that must be reported to the Ministry of Manpower (MOM). Work-related deaths must be reported immediately by telephone to MOM's Emergency Helpline, and a written report must be submitted through MOM's iReport system within 10 days. The workplace must not be disturbed (except to rescue injured persons or prevent further danger) until released by MOM inspectors. Major injuries must be reported within 10 days. Major injuries include: fractures (other than to fingers, thumbs, or toes), amputations, loss of sight (temporary or permanent), chemical or hot metal burns to the eye, penetrating injuries to the eye, electric shock requiring immediate medical attention, loss of consciousness from electric shock or exposure to harmful substances, acute illness requiring medical treatment from exposure to biological agents or hazardous substances, and injuries requiring hospitalisation for more than 24 hours. Minor injuries resulting in the employee's incapacity for work for more than three consecutive days must be reported within 10 days. Dangerous occurrences — prescribed events including crane collapses, scaffold collapses, uncontrolled releases of hazardous substances, and structural failures — must be reported within 10 days regardless of whether any injury occurred.
Reporting deadlines under the Workplace Safety and Health (Incident Reporting) Regulations vary by incident severity. Fatal incidents must be reported immediately by telephone to MOM's Emergency Helpline at 1800-221-9922, followed by a written report through MOM's iReport online system within 10 days of the incident. All other prescribed incidents — major injuries, minor injuries causing incapacity for more than three consecutive days, dangerous occurrences, and occupational diseases — must be reported within 10 days of the incident (or within 10 days of the employer becoming aware of the occupational disease diagnosis). The 10-day period runs from the date of the incident, not from the date the employer discovers the incident, except for occupational diseases where the trigger date is the employer's awareness of the medical diagnosis. Late reporting is an offence under the WSHA. MOM may issue composition fines to employers who fail to report prescribed incidents within the statutory deadline. Persistent failure to report incidents may result in prosecution under the WSHA, with penalties including fines up to S$200,000 for a body corporate and imprisonment. MOM's Occupational Safety and Health Division (OSHD) monitors iReport submissions and follows up with employers who submit late or incomplete reports. Employers should submit the iReport notification as soon as practicable — even before the incident investigation is complete — and update the report with additional findings as the investigation progresses.
The Work Injury Compensation Act 2019 (WICA) provides a statutory compensation framework for employees who suffer work-related injuries or occupational diseases in Singapore, administered by MOM's Work Injury Compensation Department.
WICA compensation covers three categories. Medical expenses: the employer must pay for the employee's medical treatment at hospitals and medical clinics approved by MOM, up to a cap of S$45,000 for non-surgical cases and S$45,000 for surgical cases. Medical leave wages: the employer must pay the employee's average monthly earnings during the period of medical leave, up to a maximum of S$3,500 per month and a total of 365 days (including 60 days of hospitalisation leave).
Lump sum compensation for permanent incapacity is calculated based on the employee's age, average monthly earnings, and the degree of permanent incapacity assessed by a MOM-appointed medical assessor. The maximum lump sum compensation for permanent total incapacity is S$289,000 (as of 2024). For death resulting from a work injury, the maximum death compensation payable to the employee's dependants is S$204,000.
WICA claims are filed with MOM by the injured employee or the employee's representative. MOM adjudicates WICA claims and issues compensation orders. Employers who are dissatisfied with MOM's assessment may appeal to the General Division of the High Court. WICA compensation is a no-fault scheme — the employee does not need to prove employer negligence — but accepting WICA compensation bars the employee from bringing a common law negligence claim for the same injury.
Employers must preserve the accident scene for fatal and major workplace incidents under Section 20A of the Workplace Safety and Health Act 2006 (Cap. 354A) and the Workplace Safety and Health (Incident Reporting) Regulations. The scene must not be disturbed — equipment must not be moved, cleaned, or repaired — until released by MOM inspectors from the Occupational Safety and Health Division (OSHD). The only exceptions permitting disturbance of the scene before MOM release are: rescue of injured persons, prevention of further injury or danger to persons at the workplace, and maintaining essential services necessary for public safety. Any disturbance for these purposes should be documented — photographs and written records of the original scene condition should be taken before any changes are made. For non-fatal, non-major incidents (minor injuries and near-misses), there is no statutory requirement to preserve the scene, but workplace safety best practice — recommended by the Workplace Safety and Health Council (WSHC) — calls for documenting the scene through photographs, measurements, and witness statements before any changes are made. Thorough scene documentation supports the root cause investigation and the development of effective corrective actions. MOM inspectors investigating a workplace fatality or major incident have the power under Section 35 of the WSHA to enter the workplace, examine the scene, take photographs and samples, seize documents and equipment, and interview witnesses.
The employer bears primary responsibility for completing the incident report form and submitting the mandatory notification to MOM under the Workplace Safety and Health Act 2006 (Cap. 354A) and the Work Injury Compensation Act 2019. For workplaces with a designated Workplace Safety and Health Officer (WSHO) — mandatory for workplaces in prescribed high-risk industries such as construction, marine shipyard, and process manufacturing — the WSHO typically leads the incident documentation and investigation process.
For smaller workplaces without a WSHO, the employer or the Workplace Safety and Health Coordinator (WSHC) — required for workplaces with 50 or more employees — is responsible for completing the report and coordinating the submission to MOM through the iReport system. The WSHC must be trained and certified by a MOM-approved training provider.
The occupier of the workplace (which may be different from the employer, particularly in multi-tenant buildings, construction sites, or shipyards) also has reporting obligations under the WSHA. Where the injured person is a contractor's employee working at the occupier's premises, both the contractor (as employer) and the occupier may have concurrent reporting obligations.
The injured employee should provide a written statement of the incident circumstances as soon as medically practicable. Witnesses to the incident should also provide written statements. The incident report form should be reviewed by the employer's management and the WSHO/WSHC for completeness before submission to MOM.
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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