A free safety performance assessment that scores leading and lagging safety KPIs — incidents, near-miss reporting, inspections and training — on a 1-5 scale and reports a safety performance profile.
Quick answer
A free safety performance assessment that scores leading and lagging safety KPIs — incidents, near-miss reporting, inspections and training — on a 1-5 scale and reports a safety performance profile.
Disclaimer: this page is for process reference and self-checking only. It does not constitute medical, psychological, financial, legal or safety advice. Consult a qualified professional when needed.
Methodology: items are a structural adaptation of widely used frameworks, not an official version; results are indicative, not diagnostic.
This safety performance assessment combines leading and lagging indicators into one scored view. Dimensions such as incident rate, near-miss reporting, inspection coverage and training completion are rated on a 1-5 scale, and the report profiles performance and where to invest next.
Sample form and AI report preview, fillable right in your browser.
Everything you need to run this template.
Accident Rate and Safety Performance Assessment ships with the exact safety KPI scoring report fields practitioners ask for — no blank form to fill.
Rename, reorder and rebrand every field to match your site and process.
Every response lands in a single dashboard you can review and export.
A branded, shareable AI PDF report generated per respondent.
From copy to deliverable in four steps.
Copy the accident rate and safety performance assessment into your FormLM workspace — free.
Adjust fields, options and thresholds to your site, roles and standards.
Send the link or QR; every response is captured automatically.
Open the personalized AI PDF report and share it with stakeholders.
Pick your role — see how it fits your workflow.
Standardise how you run safety KPI scoring report — no rebuilding a blank form each time.
Give every area and shift a consistent safety KPI scoring report process with results in one dashboard.
Deliver a branded safety KPI scoring report record to each client you support.
What makes this template work as a professional deliverable.
A preview of real questions — the full version adds scoring and a personalized report per respondent.
