Template

WellMax Accident and Incident Investigation Report

by Graham Clement, from the Community

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.

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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
SHEQ Incident and Accident Investigation
Use this SHEQ incident and accident investigation checklist to conduct thorough post-incident reviews on site. Record who, what, when, where, why, and how; build a timeline; gather evidence (photos, inductions, training, permits to work, LOLER/PUWER, RIDDOR); and assess immediate, underlying, and root causes including human, job, organizational, and equipment factors. Define short- and long-term risk controls, assign corrective actions and follow-ups, and document sign-off to support safety and regulatory compliance.
by David Johnston, from the Community
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Template
Incident Investigation Template (AA-HS-SF-4018)
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.
by Jane Pinfold, from the Community
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Template
Accident and Incident Investigation Report Form
Use this investigation report form to document accidents and incidents thoroughly. Record event details, witnesses and evidence, injuries and first aid, authorization and training, risk assessments, environmental conditions, equipment and PPE, root causes, and corrective actions. Includes prompts for RIDDOR reporting and follow-up verification to help prevent recurrence.
by Chris Blair, from the Community
Downloads: 10+
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Template
Accident and Incident Investigation Report
This accident and incident investigation report template helps teams document workplace incidents thoroughly and consistently. Capture site details, principal contractor and employer information, timelines, supervision details, and whether a risk assessment was completed. Record the nature of the incident, causes and contributing factors, severity, notifications to HSE or client, and the injured party’s status. Include statements from the injured party and witnesses, medical treatment information, and both short- and long-term corrective actions. Attach photos, drawings, and training records, and finalize with investigation conclusions and required sign-offs.
by Graham Plumbe, from the Community
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WellMax Accident and Incident Investigation Report

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Accident and Incident Investigation Report

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