Background: Nursing students gain exposure to the realities of patient safety incidents (PSIs) during clinical placements. How students learn about PSIs and reporting within clinical placements remains to be explored.Methods: This scoping review addressed: What is known about nursing students’ understanding and experiences of PSIs and incident reporting while practising in a clinical setting? CINAHL, MEDLINE, Scholars Portal, and ProQuest Nursing and Allied Health databases were searched. Study selection and data extraction were conducted by two independent reviewers. Data were collated, summarized and reported narratively.Results: Fifty-one articles were selected. Themes include: (1) types of PSIs reported; (2) how students engage in PSI reporting; (3) student factors related to PSIs; and (4) environmental factors relevant to student experiences of PSIs.Conclusions: This scoping review provides a necessary foundation from which to build future studies, to best support students and educators in addressing safety incidents within a just culture paradigm.