Basic event details
Record the incident number, date, time, location, incident type and the people involved.
A practical incident and near-miss register to help you record what happened, immediate actions, investigations, corrective actions and verified closure.
Keep enough information to understand the event, manage any immediate risk, investigate where appropriate and show that follow-up actions were completed.
Record the incident number, date, time, location, incident type and the people involved.
Describe the event factually and record any injury, harm, service impact, property damage or other consequence.
Record what was done straight away to make the situation safe, support people involved or prevent further loss.
For events needing further review, record findings and contributing factors based on evidence rather than assumptions.
Assign clear follow-up actions, owners and due dates so important issues do not disappear after the initial response.
Keep evidence of completion and verify the action where appropriate before marking the event closed.
| Incident | Type | Description | Immediate Action | Investigation | Corrective Action | Owner | Status |
|---|---|---|---|---|---|---|---|
| INC-001 | Near Miss | Item fell from shelving; no injury occurred. | Area made safe and shelving checked. | Storage arrangement and securing method reviewed. | Reorganise storage and confirm shelving controls. | Operations Lead | In Progress |
Your central record of incidents and near misses, including status, actions and closure information.
A deeper review used when the seriousness, recurrence or circumstances justify understanding causes and preventing recurrence.
The NZ Quality & Compliance Starter Pack brings incident, risk, CAPA and other practical compliance tools together in one system for small businesses.
A practical register usually includes date and time, incident type, location, people involved, description, immediate actions, harm or impact, investigation details, corrective actions, owners, due dates, evidence, verification and closure.
Yes. Use the download button at the top of this page to get the free Excel Incident Register Template.
Recording relevant near misses can help a business identify hazards, recurring weaknesses and opportunities to prevent future harm. Your specific recording requirements depend on your activities and obligations.
No. The template is a management tool. Whether an event is legally notifiable depends on the circumstances and applicable New Zealand requirements.
Disclaimer: This page and template provide general quality and compliance information and are not legal advice. Requirements vary according to your business activities, sector, contracts and applicable New Zealand law.