Use this CVA Incident Report template to document and investigate workplace incidents across CVA facilities or field sites. Capture incident details, date and time, precise location (facility, public road, or private property), supervisor information, and injured employee details. Log motor vehicle accidents with scene notes, diagrams, vehicle and trailer data, insurance, and towing. Record chemical spills, emergency response, regulatory reporting, and cleanup actions. Include witness statements, post-accident drug and alcohol testing, OSHA report references, and report numbers. Identify root causes, define corrective actions to prevent recurrence, and certify the report with investigator sign-off.
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