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 team workflows
Turn your workflows into digital templates or checklists so your team can conduct inspections efficiently and access them from any device.
Reduce manual errors
Help your team complete tasks more accurately with digital templates that minimize errors from manual processes.
Create and share inspection reports
Generate inspection reports and share them with your team and stakeholders to keep everyone informed.
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.