Template

Incident and Investigation Report

by Angela Warren, from the Community

10+

Use this Incident and Investigation Report template to capture critical WHS details after an event. Record incident type, location, dates, injured or ill persons, treatment, injury descriptions, dangerous events, electrical and environmental incidents, near misses, and property or vehicle damage. Collect evidence, witness statements, and photos, then complete investigation steps including PEEPO analysis, contributing factors, root cause, and corrective actions. Includes management notifications, sign-offs, and communication plans to support compliance with Work Health and Safety requirements and consistent reporting across teams.

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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
Motor Mall Incident Report Full Investigation
Use this incident investigation report template to document incidents from first notification through root cause. Record incident details, timelines, environmental conditions, evidence and attachments, vehicle and equipment logs, damages, and people involved. Capture statements, injury types and body parts affected, and medical treatment. Perform root cause analysis, note contributing factors, and add corrective actions. Finish with sign off and follow up to close out the investigation.
by Liam Daniels, from the Community
Downloads: 0
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Template
Full Incident Investigation and Report
This incident investigation template helps teams collect evidence, document incident details, and perform root-cause analysis for hazards, near-misses, accidents, injuries, and property damage. It includes sections for timelines, weather conditions, evidence and attachments, vehicle and equipment logs, damage records, people involved and statements, injury classifications and affected body parts, corrective actions, and sign-off. Use it to create a thorough, compliant investigation report that goes beyond an initial incident report and supports prevention and follow-up.
by Craig Lee, from the Community
Downloads: 10+
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Template
Incident Review Full Investigation and Report
Use this comprehensive incident investigation template to collect facts, evidence, and statements, then produce a complete report. Capture incident details, severity, and type; build timelines; and log evidence, vehicles, equipment, and damages. Record people involved with roles and statements, plus injury details and affected body parts. Review site procedures including NOP and EAP, assess risk and first aid needs, and perform root cause analysis with contributing factors. Add corrective actions, recommendations, and additional provisions, then finalize with a report summary and sign-off.
by Alex Murray, from the Community
Downloads: 10+
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Template
Incident Investigation Report Template AES
Use this AES incident investigation report template to capture critical details after an event. Record incident date, time, location, and classification such as near miss, injury, property damage, or spill. Document employee information, injury and treatment, and any vehicle, equipment, or utility damage with One Call and DOT details. Add a brief narrative, complete a 5 Whys root cause analysis, and list corrective and preventive actions. Attach photos and diagrams, then close out with auditor name and signature.
by Juan Rivera, from the Community
Downloads: 0
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Incident and Investigation Report

About author

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Motor Mall Incident Report Full Investigation

Full Incident Investigation and Report

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Motor Mall Incident Report Full Investigation

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