Skip to content
SafetyCulture
Template

Accident Investigation Report HE051

by Tanveer Parkar, from the Community

Downloads: 10+
Get this template

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.

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

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

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.