Church Incident Report

Church Incident Report free to download and print to report incident/accident...



This form is to be used to document all injuries, accidents or mishaps that take place at any facility or property of churches, etc.

If you have worked in a church then you know that there are things that happen beyond your control that require a record for liability purposes. This form will serve as an adequate tool for your church to capture the nature of the events at the time they happen and having the adequate information to back these incidents on your property.



This report should always be given to your Pastor or whomever your church policies states to report to. This should be specific in your Church Incident Policy and Procedures and clearly stated each step to take including who to give the incident report to once it is filled out and signed. Always keep a copy of the incident report in the church files for future reference.

Church Activities Safety

Church activities should always include proper supervision and appropriate training. Church leaders can minimize the risk of accidents and injuries by planning effectively and following appropriate safety precautions.

Church activities should involve minimal risk of injury or illness to the members or participants, and should also involve minimal risk or damage to the facilities or church property. During these activities, it is the leaders responsibility to make every effort that they need to make to ensure the participant's safety. Leaders should be prepared for any type of emergency that might occur during these activities. They should be educated and know in advance just how to quickly contact local law enforcements and emergency services.

If an accident or injury occurs on Church property, leaders should:

  • Apply First Aid - If a person needs medical attention or care beyond simple first aid, contact emergency medical services, the Pastor, and the parent, guardian, or other next of kin.
  • In Case of a Missing Person or Fatality - Immediately notify local law enforcement authorities and cooperate fully with them.
  • Provide Emotional Support
  • Do Not Encourage or Discourage Legal Action Against the Church, and do not make commitments on behalf of the church.
  • Gather and Collect any Witness(s) Names, Information, Accounts and Events of What Happened and Possible Photographs.
Click on the link(s) to download:

Incident Report #1

Incident Report #2


If you need to modify this form, try the site: Free PDF Services. You can convert this Adobe file into a Word document free of charge and make the necessary changes.

Note: You will need Adobe Reader (the latest version is recommended) installed on your computer in order to save or open these forms.

You can get Adobe Reader free here (a new window will open so you can download it without leaving this page).

If you want to open the file in your browser window, just click on one of the links above. However, if you want to download the file to view later, then right-click on the link and choose "Save Target As" or "Save File As". Then select where you want to save the file on your hard drive.


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Note: These sample forms are meant to serve as example forms and should not be construed as legal documents.  Please contact a legal professional for legal language for your specific organization.


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