Use this OSEA Accident Investigation Report template to systematically document workplace incidents. Capture site and personnel details, date and time, exact location, job role, and nature of injury. Record witness statements and the injured party’s account, assess severity and OSHA recordability, and note immediate medical treatment. Identify contributing factors and root causes such as inadequate training, supervision, or PPE. Verify if a risk assessment was completed, log corrective actions (short and long term) with responsible parties, and document investigation conclusions and approvals. Designed for manufacturing and shop-floor environments including rollfeed, powerpress, toolroom, plating shop, and more.
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