Template

Accident Investigation Form

by Joe Schemonia, from the Community

This accident investigation form helps construction teams document workplace incidents thoroughly and consistently. Record incident details, location, date and time, weather conditions, and photos. Capture involved employee information, witness details, and training status. Verify JHA availability and compliance, note pre-task checklist completion, and identify causes, contributing factors, and any safety violations. Summarize findings and assign corrective actions with responsible persons, due dates, and signatures. Designed to support root cause analysis and continuous improvement across job sites.

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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.

Template
Accident/Incident Investigation Template
Use this construction accident/incident investigation template to document workplace events thoroughly. Record incident details, date and time, location, weather, people involved, first aid, and emergency response. Capture plant and equipment involved, witness statements, and training qualifications. Identify contributing causes, immediate corrective actions, and long-term lessons learned. Conclude with findings and responsibility to improve site safety and compliance.
by Steve Nicholson, from the Community
Downloads: 10+
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Template
Accident Incident Report Template
Use this accident and incident report template to document workplace events from initial details to investigation. Record employee and site information, date and time, injury and body part, witnesses, medical treatment, severity and return to work status. Capture causes and contributing factors, corrective actions with responsible parties and due dates, and lessons learned. Include employee and witness statements and attach photos, drawings and training records to support the report.
by Steve Pope, from the Community
Downloads: 10+
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Template
Montana DOT Accident Investigation Form
Use this Montana Department of Transportation accident investigation form to document employee and vehicle incidents. Capture employee and supervisor details, injury type and body part, detailed accident description, contributing factors including PPE use, equipment condition, procedures, and environmental conditions. Perform root cause analysis and select corrective actions such as training, procedure changes, or engineering controls. Assign responsible persons, set timely actions, and obtain signatures to close findings and improve safety and compliance.
by Brian Walsh, from the Community
Downloads: 10+
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Template
Accident Investigation Report for Construction Supervisors
This construction accident investigation report template helps supervisors and foremen document workplace incidents thoroughly. Capture how the event happened, unsafe acts and conditions, injuries, witness statements, tools and equipment involved, environmental factors, and training details. Record JHA references, experience level, hours worked, medical treatment, and corrective actions to prevent recurrence. Use it to standardize FROI reporting, support root cause analysis, and drive safer job sites.
by Brian Monistere, from the Community
Downloads: 0
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Accident Investigation Form

About author

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Accident/Incident Investigation Template

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Accident/Incident Investigation Template

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