Template

Accident / Incident Initial Investigation Report

by Steve Harker, from the Community

Use this Accident / Incident Initial Investigation Report template to quickly document workplace accidents and near misses. Capture core details including what happened, who was involved, date and location, incident type and severity, injuries or damage, witnesses, supervisor, and equipment involved. Record contributing factors, PPE in use, worker competency and training, emergency response, and immediate controls. Add recommendations to reduce risk, note if further investigation is required, and collect signatures. This general template is provided as a starting point and should be reviewed for suitability to your operations and jurisdiction.

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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

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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
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ACCIDENT/INCIDENT INITIAL INVESTIGATION REPORT
For internal use only
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Accident / Incident Initial Investigation Report

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