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Template

TECSIDE Accident / Incident / Hazard Report and Investigation Form

by Anthony O'Donnell, from the Community

Downloads: 50
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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
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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

Description

A comprehensive workplace incident reporting document designed to capture detailed information about workplace accidents, injuries, and hazards. The form includes sections for personal information, incident details, injury classification, witness statements, and root cause analysis. It covers various types of incidents from minor injuries to lost time injuries, property damage, and environmental incidents. The document also includes sections for corrective actions, contributing factors analysis, and recommendations for future prevention. This structured approach ensures thorough documentation of workplace incidents and helps organizations maintain safety standards while implementing preventive measures. The form requires signatures from both the host employer and TECSIDE representative, ensuring proper oversight and accountability in incident reporting and resolution.

About author

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.