Template

Incident Investigation Template (AA-HS-SF-4018)

by Jane Pinfold, from the Community

Use this incident investigation template to guide thorough post-incident reviews. Record injured person details, time and location, witness statements, and evidence such as photos or CCTV. Document RIDDOR notifications, RAMS, training and induction records, inspection and service logs, and permits. Summarize incident types and injuries, analyze root causes across equipment, culture, policy, and environment, then assign corrective actions and obtain investigation team sign-off.

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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

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
Incident Investigation AA-HS-SF-4018 Template
Use this incident investigation template AA-HS-SF-4018 to document injured person details, location and date, evidence, witness and injured statements, photos or CCTV, RAMS, RIDDOR notifications, training and induction records, inspections, permits, and related correspondence. Identify incident type across safety, health, environment, or property, analyze root causes including equipment, culture, policy or environment, reference applicable legislation, assign corrective actions, and capture investigation team sign-off. Designed to support consistent health and safety investigations across worksites.
by Jane Pinfold, from the Community
Downloads: 10+
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Template
WellMax Accident and Incident Investigation Report
This WellMax accident and incident investigation report template helps teams capture complete incident details and manage a thorough investigation. Record incident date and location, conditions, injured parties, witnesses, photographs, and evidence. Classify the event including RIDDOR categories, build a clear timeline of actions, and assess root and underlying causes using basic risk factors such as design, procedures, training, tools and equipment, housekeeping, and communication. Track post incident management, corrective actions, and learnings to strengthen safety performance and compliance across worksites.
by Graham Clement, from the Community
Downloads: 0
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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+
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Template
Full Incident Investigation and Report
This incident investigation template helps teams collect evidence, document incident details, and perform root-cause analysis for hazards, near-misses, accidents, injuries, and property damage. It includes sections for timelines, weather conditions, evidence and attachments, vehicle and equipment logs, damage records, people involved and statements, injury classifications and affected body parts, corrective actions, and sign-off. Use it to create a thorough, compliant investigation report that goes beyond an initial incident report and supports prevention and follow-up.
by Craig Lee, from the Community
Downloads: 10+
Get

Incident Investigation AA-HS-SF-4018 Template

Use this incident investigation template AA-HS-SF-4018 to document injured person details, location and date, evidence, witness and injured statements, photos or CCTV, RAMS, RIDDOR notifications, training and induction records, inspections, permits, and related correspondence. Identify incident type across safety, health, environment, or property, analyze root causes including equipment, culture, policy or environment, reference applicable legislation, assign corrective actions, and capture investigation team sign-off. Designed to support consistent health and safety investigations across worksites.

by Jane Pinfold, from the Community

10+

Get

Template

WellMax Accident and Incident Investigation Report

This WellMax accident and incident investigation report template helps teams capture complete incident details and manage a thorough investigation. Record incident date and location, conditions, injured parties, witnesses, photographs, and evidence. Classify the event including RIDDOR categories, build a clear timeline of actions, and assess root and underlying causes using basic risk factors such as design, procedures, training, tools and equipment, housekeeping, and communication. Track post incident management, corrective actions, and learnings to strengthen safety performance and compliance across worksites.

by Graham Clement, from the Community

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

Template

Full Incident Investigation and Report

This incident investigation template helps teams collect evidence, document incident details, and perform root-cause analysis for hazards, near-misses, accidents, injuries, and property damage. It includes sections for timelines, weather conditions, evidence and attachments, vehicle and equipment logs, damage records, people involved and statements, injury classifications and affected body parts, corrective actions, and sign-off. Use it to create a thorough, compliant investigation report that goes beyond an initial incident report and supports prevention and follow-up.

by Craig Lee, from the Community

10+

Get

Incident Investigation Template (AA-HS-SF-4018)

About author

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Incident Investigation AA-HS-SF-4018 Template

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