Template

ICS Incident Investigation Checklist

by Corey Crosby, from the Community

Use this ICS incident investigation checklist to document workplace accidents on construction sites. Capture essential details including injured employee information, job and contractor data, location of the event, injury description and affected body parts, immediate treatment, PPE usage, and whether the incident is OSHA reportable. Record root causes, corrective and disciplinary actions, and retraining topics to prevent recurrence. Classify the injury, note first aid or medical aid provided, and flag questionable claims. This template helps standardize investigations and supports compliance and continuous safety improvement.

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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
ICS Near Miss/Hit Investigation Template
Use this ICS Near Miss and Hit Investigation template to document jobsite incidents that did not result in injury or damage but had the potential to do so. Capture jobsite name or number, date and time, employees involved, preparer, and location. Record a clear narrative of the event, identify root causes, and specify corrective or disciplinary actions to prevent recurrence. Note any training required or retraining for personnel and add comments for additional context. This structured checklist supports consistent reporting, accountability, and continuous improvement across construction sites and crews.
by Corey Crosby, from the Community
Downloads: 0
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Template
Incident Investigation Form
This incident investigation form helps supervisors and managers document workplace incidents the same day they occur. Capture incident type, department, location, date and time, witness details, and photos. Assess injury details including body part affected and nature of injury or illness. Identify causal and basic causes, perform a 5 Why root cause analysis, and note immediate corrective actions. Record OSHA classification, property damage, near misses, and high-potential events to support compliance and continuous improvement.
by Tyler Bonzo, from the Community
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Template
Incident Injury Report Form Template
Use this Incident Injury Report Form to document workplace accidents and near misses. Record personal and incident details, witness information, injury type and body part affected, contributing factors, and site conditions. Includes an investigation checklist, risk controls (elimination, substitution, engineering, administration, PPE), and action tracking to prevent recurrence and improve WHS compliance.
by John Patrick Agustin, from the Community
Downloads: 10+
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Template
Injury Investigation Form Template
Use this injury investigation form to document a first report of injury or illness. Capture employee and incident details including date, time, location, injury type, and body part affected; eyewitness information; environmental conditions; underlying factors such as PPE use, equipment issues, and training gaps; and recommended corrective actions. Attach photos or media, assign actions, and record investigator and supervisor sign-off. Suitable for construction and other industries to support incident reporting and root cause analysis.
by Jonathan Nixon, from the Community
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ICS Incident Investigation Checklist

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