Published 2 Dec 2022
What is an Accident Investigation Report Template?
An accident investigation report template is a tool used by safety officers and investigators to collect information during an accident investigation. In a workplace setting, supervisors or managers perform accident investigations to help determine the cost of damage, support insurance claim investigations, and improve workplace safety by helping prevent accident reoccurrence.
Accident Investigation Report Template
This accident investigation report template is used to determine the root cause of the accident to prevent future accidents. Safety officers and workplace supervisors can use this accident investigation form during accident investigations. With SafetyCulture, you are empowered to:
- Gather information regarding people involved in the accident.
- Record accident details and describe consequences.
- Take optional photos for more context.
- Record witness statements if applicable.
- Recommend actions to avoid accident reoccurrence.
You can download this sample template and the other investigation report templates as PDF, CSV, Excel, or Word if you prefer. We do encourage you, however, to give the digital templates a try for you to reap the full benefits of using a digital accident investigation report form on the SafetyCulture app.
In this article
- How to Write an Accident Investigation Report
- What to Include in an Accident Investigation Report
- FAQs about Accident Investigation Reports
- Streamline Accident Investigation Reporting with SafetyCulture (formerly iAuditor)
- Accident Investigation Report Templates
How to Write an Accident Investigation Report
A good accident investigation report should focus on factual details about the accident. The objective of the report is to inform the readers of accurate information about the accident.
Below are tips you can follow in writing a good accident investigation report:
1. Avoid writing opinions.
Clearly detail the incident with facts and evidence. This will help the safety officer be well-informed about what happened and assess what kind of next steps to take.
Some examples of the basic details you must include are the following:
- Full name and age of the employee
- Date, time, and location of the incident
- Reason why the incident happened
- Incurred injuries
- Consequences of the accident
- Full name and statement of the witness
- Recommendations to avoid accident recurrence
2. Attach photo evidence.
Providing such is a must as this serves as visual proof of the accident. This is crucial for those who will check the report to get a better glimpse of the incident.
3. Provide important information.
To better provide context about the accident, answer the following W-questions:
- When did the accident occur?
- Who were the involved parties?
- Where was the location of the accident?
- What are the details of the accident?
- Why did the accident happen?
- What are the consequences of the accident?
4. Validate the report.
Finally, supervisors and witnesses must sign off the accident report. This should include their full name, contact information, statement, recommendations, and signatures.
Here’s an accident investigation report sample in PDF. This sample followed the tips on how to write a good accident investigation report and included photos for additional context on the events surrounding an accident.
What to Include in an Accident Investigation Report
To guide you better in creating and using an accident investigation report template, here are the basic details and sections you must include:
- Title Page – briefly discusses the department, full name, and age of the employee, as well as the date and time that the investigation was conducted
- General Information – includes the employee’s photo of identification, date, time, and location of the incident, and if there are other people involved
- Accident Report – describes the details of the accident itself, the possible or obvious reasons why it happened, and the incurred injuries (if any)
- Witness/es – specifies the witness’s name and statement about the incident
- Completion – section for the supervisor to provide recommendations and sign off the report
In addition to the tips and questions outlined above, an accident investigation checklist must ask the following questions:
- Are there other people involved?
- Did the employee leave work?
- Are there any witnesses?
FAQs about Accident Investigation Reports
To conduct an efficient accident investigation, be guided by the following:
- Report the accident based on your organization’s policies.
- Immediately investigate what happened.
- Study the possible root cause/s of the incident.
- Diligently record your factual account of what happened in a detailed report.
- Include specific corrective and preventive actions and other recommendations.
- Establish a way to monitor the progress of such recommendations.
- Continuously improve your health and safety measures for the organization.
A good accident investigation report describes the facts in full detail and includes the date and time that an accident occurred, the order in which things happened, and what caused it. At the end of the report, the inspector in charge of filing it must list their recommendations for future use.
There is no one right way to structure an accident investigation report, as it would depend on your organization’s practices. Ideally, however, an accident investigation report should be done in a narrative format so those reading it can better understand how said accident came to be from start to finish.
The employer should be the one to file and report the accidents that happen to their employees. However, they will need to be in constant contact with their employee for the whole claiming process. Depending on the country, the employee and employer may need to contact their country’s division of workers or compensation government body.
Streamline Accident Investigation Reporting with SafetyCulture (formerly iAuditor)
Paper-based accident investigation reports are time-consuming to complete and take more effort to incorporate photo evidence. Also, in the event that an accident investigation report goes missing, actions that intend to address the safety concerns of employees can get delayed and time-sensitive compensation claims are put at risk.
SafetyCulture is a powerful mobile app that can replace paper-based accident investigation forms. Use SafetyCulture on your mobile device to do the following:
- Record accident details using checklists, templates, and forms that you can download and customize from SafetyCulture’s Public Library.
- Capture unlimited photo evidence and add notes to describe the details of the accident and provide further context to what happened.
- Immediately generate urgent accident investigation reports even while at the scene of the incident. You can export them into CSV, PDF, Excel, and Word formats depending on your needs.
To get you started with your accident investigation, we have built these accident investigation report templates you can browse and download for free.
Accident Investigation Report Templates
Vehicle Accident Investigation Report Checklist
Use this vehicle accident investigation report template to document information about the employee and vehicle involved in the accident. Include details such as the name of the driver, date of birth, address, employee phone number, and driver’s license number, among others. Most importantly, record details about the accident and any injuries incurred.
Incident Investigation Checklist
Use this incident investigation checklist to help conduct a root cause analysis following an incident or near miss at your workplace. This digital incident investigation form can be used by supervisors to gather facts about the incident and do the following:
- Specify the people involved as well as the investigation team.
- State what type of task is being performed when the incident happened.
- Explain the incident in detail.
- Attach a photo or video evidence for clearer context.
- Select the contributing factors, including environmental, equipment/materials, work system, and people factors.
Vehicle Damage Report
Use this vehicle damage report to document a vehicular accident, record the extent of damages, and identify the parties involved. Safety officers, as well as drivers and fleet managers, can use this vehicle damage report to perform the following:
- Provide general details of the driver (full name, driver's license number, VIN, etc.).
- Describe and take photos of vehicular damage.
- Include witness statements if applicable.
- Include digital signatures.
SafetyCulture Content Specialist
Jona Tarlengco
