Gas Station Incident Reporting Form Templates

Published on May 2, 2023
A small gas station at night Image Source

What is Gas Station Incident Reporting?

Gas Station Incident Reporting refers to the process of documenting and reporting any incidents or accidents that occur at a gas station. This includes, but is not limited to, spills, fires, equipment malfunctions, vehicle collisions, thefts, and any other events that may pose a risk to the safety of customers, employees, or the environment.

What information can be recorded in a Gas Station Incident Reporting form?

  1. Incident date: The date when the incident or accident occurred.
  2. Incident location: The specific location within the gas station where the incident took place, such as a fuel pump, convenience store, or car wash.
  3. Incident description: A detailed description of the incident, including the events leading up to it, the nature of the incident, and any damage or injuries sustained.
  4. Contact phone: The phone number of the person reporting the incident or the primary contact person for follow-up.
  5. Reported by: The name of the person reporting the incident, which may be an employee, customer, or witness.
  6. Location: The geographical location of the gas station where the incident occurred, especially important for businesses with multiple gas station locations.
  7. Pictures of the incident: Any photographs taken of the incident scene, which can provide valuable visual evidence and context for the incident report.

Benefits of keeping records for Gas Station Incident Reporting:

Use template

Get started now

Work better with your teams and gain valuable insights. Get started for free. Add as many users as you want, all for free.