ratter, at my NHS workplace we are instructed that near misses as well as actual accidents need to go in the accident book (which is a sheet the size of a tablecloth) - because H&S can learn from near-accidents as well as from actual. The DH gathers data on falls as well so any information like this is valuable - your perception as to why this is done at your place of work may well be right, but you need to know that the HSE is happy with it. You must have an H&S rep (or is it your manager who designed these forms..?). I too would be concerned because the true state of play is not being recorded, and as was answered before, if a fall or near-miss gave rise to some later discovered injury, I am reasonably sure that the home would have difficulty in explaining why the original incident was not reported. It's not my forté these days but I do work in the NHS, and I used to work in insurance in industry where we dealt with accident claims, the two are not unrelated, and documentation of any incident at the time is happens was always held to be really important.