Template

CC/MC MVA Investigation Checklist

by Josh McComas, from the Community

10+

Use this CC/MC motor vehicle accident investigation checklist to document work-related incidents on roads, jobsites, or plants. Capture unit and insured vehicle details, employee information, other vehicles and occupants, police response, hazardous conditions, unsafe acts, vehicle actions, collision type, and roadway type. Attach photos, signatures, and notes to support root cause analysis and corrective actions. Standardize post-incident reporting to improve safety and compliance.

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.

Template
Motor Mall Incident Report Full Investigation
Use this incident investigation report template to document incidents from first notification through root cause. Record incident details, timelines, environmental conditions, evidence and attachments, vehicle and equipment logs, damages, and people involved. Capture statements, injury types and body parts affected, and medical treatment. Perform root cause analysis, note contributing factors, and add corrective actions. Finish with sign off and follow up to close out the investigation.
by Liam Daniels, from the Community
Downloads: 0
Get
Template
Vehicle Accident Investigation Report Template
Comprehensive vehicle accident investigation report template. Document incidents, collect witness information, record vehicle damage, and track injury details systematically.
by Glassworks 2016, from the Community
Downloads: 200+
Get
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+
Get
Template
Incident and Investigation Report
Use this Incident and Investigation Report template to capture critical WHS details after an event. Record incident type, location, dates, injured or ill persons, treatment, injury descriptions, dangerous events, electrical and environmental incidents, near misses, and property or vehicle damage. Collect evidence, witness statements, and photos, then complete investigation steps including PEEPO analysis, contributing factors, root cause, and corrective actions. Includes management notifications, sign-offs, and communication plans to support compliance with Work Health and Safety requirements and consistent reporting across teams.
by Angela Warren, from the Community
Downloads: 10+
Get

Motor Mall Incident Report Full Investigation

Use this incident investigation report template to document incidents from first notification through root cause. Record incident details, timelines, environmental conditions, evidence and attachments, vehicle and equipment logs, damages, and people involved. Capture statements, injury types and body parts affected, and medical treatment. Perform root cause analysis, note contributing factors, and add corrective actions. Finish with sign off and follow up to close out the investigation.

by Liam Daniels, from the Community

Get

Template

Vehicle Accident Investigation Report Template

Comprehensive vehicle accident investigation report template. Document incidents, collect witness information, record vehicle damage, and track injury details systematically.

by Glassworks 2016, from the Community

200+

Get

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

10+

Get

Template

Incident and Investigation Report

Use this Incident and Investigation Report template to capture critical WHS details after an event. Record incident type, location, dates, injured or ill persons, treatment, injury descriptions, dangerous events, electrical and environmental incidents, near misses, and property or vehicle damage. Collect evidence, witness statements, and photos, then complete investigation steps including PEEPO analysis, contributing factors, root cause, and corrective actions. Includes management notifications, sign-offs, and communication plans to support compliance with Work Health and Safety requirements and consistent reporting across teams.

by Angela Warren, from the Community

10+

Get

CC/MC MVA Investigation Checklist

About author

You might also like

Motor Mall Incident Report Full Investigation

Vehicle Accident Investigation Report Template

Montana DOT Accident Investigation Form

Incident and Investigation Report

You might also like

Motor Mall Incident Report Full Investigation

Vehicle Accident Investigation Report Template

Montana DOT Accident Investigation Form

Incident and Investigation Report