Incident Investigation Form - Avon

Use this incident investigation form for Avon facilities to log unsafe acts and conditions, near misses, first aid, recordable injuries, and property damage by end of shift. Capture department, location, employee details, shift, job, time on task, witnesses, and potential outcomes. Record injury or illness details, affected body part, OSHA class, and severity. Identify causal factors across employee, supervision, and equipment, run 5 Whys to find root causes, and define immediate fixes and corrective actions. Attach photos, document statements, and track costs for third party damage. Designed for food and beverage manufacturing lines like Lunchables and Cool Whip.