Template

Incident Report - Full Investigation Checklist

by Mehran Khan, from the Community

10+

Use this 3CIX incident report template to capture critical details after an incident, from what happened and where, to weather conditions, evidence, and people involved. Log injuries, affected body parts, equipment and vehicle information, and damages. Build a clear event timeline, attach photos, and document statements. Guide your root cause analysis with contributing factors and five whys, then record corrective actions and sign off. Ideal for construction teams seeking thorough investigations and consistent reporting.

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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.

Template
Incident Report: Full Investigation and Report
This comprehensive incident investigation template helps teams capture incident details, build a timeline, and attach evidence such as equipment, vehicles, damages, and other items. It includes structured logs for people involved, statements, and injury details with affected body parts. Teams can assess severity, medical attention, environmental conditions, and contributing factors. Root cause analysis prompts (including likelihood of recurrence) guide corrective actions and follow-up. Final sign-off fields ensure accountability and closure for thorough incident reporting.
by Mark Playforth, from the Community
Downloads: 0
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Template
Incident Investigation Report Template
This comprehensive incident investigation report template helps teams capture the facts, evidence, and outcomes of workplace incidents from start to finish. Record incident details and timelines, document weather conditions, log evidence with photos, and track vehicles, equipment, damages, and other items. Capture people involved, witness statements and signatures, and detailed injury information including type and affected body parts. Conduct a structured root cause analysis using contributing factors and five whys to identify underlying causes and likelihood of recurrence. Plan and verify corrective actions and recommendations, then finalize with investigator and reviewer sign-offs and follow-up assignments. Ideal for construction and field operations seeking a thorough, repeatable approach to incident documentation and prevention.
by Mark Baylis, from the Community
Downloads: 10+
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Template
Mitti Incident Investigation Report Template
This Mitti incident investigation template helps teams document serious incidents from first report through close out. Capture incident details, environmental conditions, and a timeline of events. Log evidence, vehicles, equipment, damages, and other items. Record people involved, statements, injuries, and affected body parts. Perform root cause analysis using contributing factors and five whys, then assign and track corrective actions. Finish with investigator sign off and follow up tasks. Designed for workplace health and safety across industries.
by Jeff Q, from the Community
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Template
Incident Report Template for Accidents and Injuries
Capture comprehensive details after an incident, accident, or injury with this incident report template. Record date, time, location, incident type, weather conditions, and a factual account. Attach evidence, vehicle and equipment details, and document damages. Log people involved, preliminary statements, injuries and affected body parts. Track corrective actions and follow-ups, then sign off to complete a thorough investigation.
by Lincoln Stone, from the Community
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Incident Report - Full Investigation Checklist

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