We also use an Access database. We capture the information on a 2-sided form which is scanned into the database. There is minimal typing (e.g. written description or comment) that I manually enter into the databse. Reports are then generated - monthly, FDA BPD's, occurrence type, tech code, etc.
It is really helpful, though, to have someone at your facility who is knowledgeable with the Access program. I personally am not, so I have to rely on the help of others.