Template

Accident and Incident Investigation Report Form

by Chris Blair, from the Community

10+

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.

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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

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
Culligan Incident and Investigation Form
Use this combined accident and investigation form to log incidents across warehouses, manufacturing and logistics. Record incident details, persons involved, injuries and body part, PPE, first aid, witnesses, environmental conditions, and RIDDOR. Guide root cause analysis with 5 Whys or Ishikawa and assign corrective actions, sign offs and follow up to prevent recurrence.
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Lytle Accident Investigation Report
This accident investigation report template helps construction teams document workplace incidents thoroughly and consistently. Capture employee and job details, date and time, witnesses, injury types and affected body parts, sources of accidents, personal and job site factors, PPE used, treatment and lost time, and the activities leading to the event. Record unsafe acts and conditions, responsibility, photos, and detailed descriptions. Outline corrective actions to prevent recurrence and complete reviewer and preparer sign-offs to finalize the report.
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Accident Investigation Report HE051
This accident investigation report template (HE051) guides Health and Safety teams through a thorough incident review. Capture investigation details, incident location, date and time, injured person status, and injury type. Document first aid provided, treatment, witnesses, photos, equipment used, and site conditions. Evaluate PPE requirements and condition, immediate and contributing causes, and defenses that failed or worked. Use the 5 Whys to identify root cause, then assign corrective and preventive actions with owners and due dates. Record authorizations and sign-offs, and track reportability under RIDDOR. Use this form to standardize investigations and prevent recurrence.
by Tanveer Parkar, from the Community
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Accident Investigation Report for Construction Supervisors
This construction accident investigation report template helps supervisors and foremen document workplace incidents thoroughly. Capture how the event happened, unsafe acts and conditions, injuries, witness statements, tools and equipment involved, environmental factors, and training details. Record JHA references, experience level, hours worked, medical treatment, and corrective actions to prevent recurrence. Use it to standardize FROI reporting, support root cause analysis, and drive safer job sites.
by Brian Monistere, from the Community
Downloads: 0
Get

Culligan Incident and Investigation Form

Use this combined accident and investigation form to log incidents across warehouses, manufacturing and logistics. Record incident details, persons involved, injuries and body part, PPE, first aid, witnesses, environmental conditions, and RIDDOR. Guide root cause analysis with 5 Whys or Ishikawa and assign corrective actions, sign offs and follow up to prevent recurrence.

by Tiffany Argent, from the Community

10+

Get

Template

Lytle Accident Investigation Report

This accident investigation report template helps construction teams document workplace incidents thoroughly and consistently. Capture employee and job details, date and time, witnesses, injury types and affected body parts, sources of accidents, personal and job site factors, PPE used, treatment and lost time, and the activities leading to the event. Record unsafe acts and conditions, responsibility, photos, and detailed descriptions. Outline corrective actions to prevent recurrence and complete reviewer and preparer sign-offs to finalize the report.

by Eric Biernbaum, from the Community

10+

Get

Template

Accident Investigation Report HE051

This accident investigation report template (HE051) guides Health and Safety teams through a thorough incident review. Capture investigation details, incident location, date and time, injured person status, and injury type. Document first aid provided, treatment, witnesses, photos, equipment used, and site conditions. Evaluate PPE requirements and condition, immediate and contributing causes, and defenses that failed or worked. Use the 5 Whys to identify root cause, then assign corrective and preventive actions with owners and due dates. Record authorizations and sign-offs, and track reportability under RIDDOR. Use this form to standardize investigations and prevent recurrence.

by Tanveer Parkar, from the Community

10+

Get

Template

Accident Investigation Report for Construction Supervisors

This construction accident investigation report template helps supervisors and foremen document workplace incidents thoroughly. Capture how the event happened, unsafe acts and conditions, injuries, witness statements, tools and equipment involved, environmental factors, and training details. Record JHA references, experience level, hours worked, medical treatment, and corrective actions to prevent recurrence. Use it to standardize FROI reporting, support root cause analysis, and drive safer job sites.

by Brian Monistere, from the Community

Get

Accident and Incident Investigation Report Form

About author

You might also like

Culligan Incident and Investigation Form

Lytle Accident Investigation Report

Accident Investigation Report HE051

Accident Investigation Report for Construction Supervisors

You might also like

Culligan Incident and Investigation Form

Lytle Accident Investigation Report

Accident Investigation Report HE051

Accident Investigation Report for Construction Supervisors