TEMPLATE

Idaho incident report template

ReportDraft Safety from $12 a month. 14-day free trial with your first report and up to 5 template downloads. Card required, nothing charged today, cancel anytime. Need just one? One incident report for $19, no subscription.

Your Idaho incident report has 4 rules to meet. ReportDraft puts every one on your checklist and checks your draft before you sign.

  • A doctor visit or a day off: the first report to the Industrial Commission within 10 days
  • Disability past 60 days: a supplemental report
  • Every OSHA 301 item, completed within 7 calendar days for a recordable case

An incident report template set up for Idaho, with fields for the physician treatment (who and when), if any, days absent from work so far and first report of injury to the Industrial Commission (date mailed or filed). In Word and PDF.

See a free preview filled from sample notes

REPORTDRAFT.COM
Idaho Incident report Template
Company or organization
Site address or location
Date of the incident
Type of incident
Completed by
Physician treatment (who and when), if any
Days absent from work so far
First report of injury to the Industrial Commission (date mailed or filed)
Download in Word or PDFIncluded with ReportDraft Safety and its free trial.

Idaho rules for this report

These rules are about how and when you report, not the template's fields. Check them before you deliver.

  • As soon as practicable and no later than ten days after an injury or occupational disease that requires treatment by a physician or causes absence from work for one day or more, the employer reports it in writing to the Industrial Commission on the Commission's form; mailing it within the time counts as complianceIdaho Code 72-602 (1)
  • If the disability lasts beyond sixty days, the employer files a supplemental report with the Commission at the end of that period, on the Commission's form, that the employee is still disabledIdaho Code 72-602 (2)
  • When the disability ends, the employer files a final supplemental report, and the employer or other party liable files a summary of the total compensation paid or payable, as the Commission prescribesIdaho Code 72-602 (3), (4)
  • An employer who willfully fails or refuses to make any of these reports is guilty of a misdemeanorIdaho Code 72-602 (5)
  • A claim cannot proceed unless notice of the accident was given to the employer as soon as practicable and no later than sixty days after it, and a claim for compensation is made within one year of the accident (or of a death), unless compensation was paid voluntarily or a hearing was requestedIdaho Code 72-701

What is in it

  • What happenedWhat the person was doing just before the incident, with the tools, equipment or material used, then how the incident happened, in the order it happened.
  • Injury or illness and treatmentThe part of the body affected and how, the object or substance that directly caused harm, and the first aid or medical treatment given and where.
  • Damage to property, equipment or the environmentWhat was damaged, spilled or released, and how much, as the notes give it.
  • Immediate actions takenWhat was done right away: first aid, emergency calls, the area made safe, equipment stopped or tagged out, and who was notified.
  • CausesThe immediate cause and any underlying causes the notes identify: equipment, procedures, training, work conditions, supervision. Only what the notes support.
  • Witness statementsName, Role, What they saw or said
  • Corrective actionsAction, Responsible, Due, Status

Rules last reviewed October 15, 2026. Read the full Idaho incident report requirements.