South Carolina incident report template

South Carolina rules for this report

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

• A work-related death is reported to SC OSHA within 8 hours, and an in-patient hospitalization, amputation or loss of an eye within 24 hours, by telephone (803-896-7672) or in person to the SC OSHA office, or by calling 1-800-321-OSHA; when the office is closed, one of those two phone numbers must be used, not a message, fax or email. A motor vehicle accident on a public street or highway is reportable only if it happened in a construction work zoneS.C. Code Regs. 71-339 (a), (b) (1), (3)
• Every employer keeps a record of all injuries, fatal or otherwise, received by its employees in the course of employment, on forms approved by the Workers' Compensation CommissionS.C. Code 42-19-10
• An injury with compensable lost time, medical costs above the limit the Commission sets by regulation, or possible permanency is reported to the Commission in writing within ten business days after its occurrence and the employer's knowledge of it. An injury with no compensable lost time or permanency and medical costs within the limit is reported annually; one needing only minimal medical attention within the limit and no more than one lost workday needs no written report if the employer keeps the record and pays the medical costs directlyS.C. Code 42-19-10 (1), (2)
• When the injured employee's disability ends, or if it lasts beyond sixty days, the employer makes a supplementary report to the CommissionS.C. Code 42-19-20
• An employer or insurance carrier that refuses or neglects to submit required forms, records and reports is liable for a penalty of 10 to 100 dollars for each refusal or neglectS.C. Code 42-19-30
• The injured employee gives the employer notice of the accident immediately or as soon as practicable; no compensation is payable unless notice is given within ninety days of the accident (for repetitive trauma, ninety days from when the employee discovered, or reasonably could have, that the condition is compensable), unless the Commission accepts a reasonable excuse and the employer was not prejudicedS.C. Code 42-15-20

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 13, 2026. Read the full South Carolina incident report requirements.