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.
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