LJ Keefe Foreman Incident Investigation Form

Use this LJ Keefe Foreman Incident Investigation Form to record and analyze workplace incidents on construction sites. The checklist guides foremen or managers to document key facts such as employee and jobsite details, incident class and type, date and time, hours worked prior, and the likely causes. It prompts capture of descriptions of the incident and resulting injuries, equipment involved, weather conditions, and PPE use. It includes space for witness names and statements, photos of the scene, and notes on any medical treatment, discipline, or post-incident drug and alcohol screening. The form concludes with recommended corrective actions and authorized representative signature to support root-cause analysis and continuous safety improvement.