Template

BAPKO Metal Incident and Injury Investigation

by Jeff Trout, from the Community

Document workplace incidents with this BAPKO Metal incident and injury investigation checklist. Capture incident details, injury type and affected body part, medical treatment, employee and witness statements, photos, and scene information. Analyze primary causes and contributing factors, then assign immediate and long-term corrective actions with owners and due dates for effective follow-up.

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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
UMA Incident Investigation Report
Use this incident investigation report to document workplace injuries from initial details to closure. Capture general information, employee and witness statements, incident type, injury nature and affected body parts, and medical treatment. Conduct root cause analysis with the 5 Whys and record surface causes. Plan immediate, short term, long term, and system improvement actions with owners and due dates. Attach photos, sketches, interviews, and diagrams. Managers review follow up actions and confirm completion to close the report and return it to the safety team.
by Joshua Davis, from the Community
Downloads: 0
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Template
BAPKO Metal Incident Report - First Response
This first response incident report template by BAPKO Metal helps teams quickly document workplace incidents on construction and fabrication sites. Capture incident type, priority, time and location, environmental conditions, and detailed narratives. Record evidence with photos, track vehicles, equipment and property damage, and log people involved with statements and signatures. Document injuries, affected body parts, and suspected causes. Add corrective actions and follow-up tasks, then sign off to confirm next steps and accountability. Use as a starting point and adapt to your site requirements.
by Jeff Trout, from the Community
Downloads: 0
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Template
Incident Injury Report Form Template
Use this Incident Injury Report Form to document workplace accidents and near misses. Record personal and incident details, witness information, injury type and body part affected, contributing factors, and site conditions. Includes an investigation checklist, risk controls (elimination, substitution, engineering, administration, PPE), and action tracking to prevent recurrence and improve WHS compliance.
by John Patrick Agustin, from the Community
Downloads: 10+
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Template
Injury Investigation - Initial
This initial injury investigation checklist helps supervisors document incident details, identify contributing factors, and define corrective actions to prevent recurrence. Capture worker information, time and location, injury type and body part, treatment, witnesses, and site conditions. Evaluate equipment, environment, human factors, methods, and PPE. Attach photos, record inspection findings, and assign responsible persons with due dates. Includes supervisor sign-off and health and safety manager comments.
by Rick Haertel, from the Community
Downloads: 0
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UMA Incident Investigation Report

Use this incident investigation report to document workplace injuries from initial details to closure. Capture general information, employee and witness statements, incident type, injury nature and affected body parts, and medical treatment. Conduct root cause analysis with the 5 Whys and record surface causes. Plan immediate, short term, long term, and system improvement actions with owners and due dates. Attach photos, sketches, interviews, and diagrams. Managers review follow up actions and confirm completion to close the report and return it to the safety team.

by Joshua Davis, from the Community

Get

Template

BAPKO Metal Incident Report - First Response

This first response incident report template by BAPKO Metal helps teams quickly document workplace incidents on construction and fabrication sites. Capture incident type, priority, time and location, environmental conditions, and detailed narratives. Record evidence with photos, track vehicles, equipment and property damage, and log people involved with statements and signatures. Document injuries, affected body parts, and suspected causes. Add corrective actions and follow-up tasks, then sign off to confirm next steps and accountability. Use as a starting point and adapt to your site requirements.

by Jeff Trout, from the Community

Get

Template

Incident Injury Report Form Template

Use this Incident Injury Report Form to document workplace accidents and near misses. Record personal and incident details, witness information, injury type and body part affected, contributing factors, and site conditions. Includes an investigation checklist, risk controls (elimination, substitution, engineering, administration, PPE), and action tracking to prevent recurrence and improve WHS compliance.

by John Patrick Agustin, from the Community

10+

Get

Template

Injury Investigation - Initial

This initial injury investigation checklist helps supervisors document incident details, identify contributing factors, and define corrective actions to prevent recurrence. Capture worker information, time and location, injury type and body part, treatment, witnesses, and site conditions. Evaluate equipment, environment, human factors, methods, and PPE. Attach photos, record inspection findings, and assign responsible persons with due dates. Includes supervisor sign-off and health and safety manager comments.

by Rick Haertel, from the Community

Get

BAPKO Metal Incident and Injury Investigation

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UMA Incident Investigation Report

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UMA Incident Investigation Report

BAPKO Metal Incident Report - First Response

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