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Template

Incident Notification and Investigation Report

by Devon Patchin, from the Community

Downloads: 20+
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This incident notification and investigation report template helps teams document injuries, illnesses, near misses, and equipment or vehicle damage. Capture initial details, locations, dates, and people involved; classify severity and OSHA recordability; add photos; identify contributing factors; and assess potential severity and recurrence. Plan corrective actions with owners and due dates, and collect required signatures. Appendices cover injury details, body parts and nature of injury, and vehicle or equipment damage, plus employee and witness statements.

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.