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Franklin Smith Incident Report and Investigation Form

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Document workplace incidents with a structured form that captures site, date and time, people involved, injuries or damage, and a clear description of events. Identify key contributing factors across environment, human factors, equipment, and methods. Apply the 5 Whys to determine root cause, review supporting documents, and record corrective actions with owners and due dates. Includes a WorkSafe NZ notifiable event prompt.

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Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.