Template

Safety and Environmental Observation Investigation

by Michael Osborne, from the Community

Use this safety and environmental observation investigation form to report near misses, incidents, spills, incorrect waste segregation, and similar issues. Guide teams through 5 Whys root cause analysis, document reasons such as leaks, overproduction, poor housekeeping, or PPE non-compliance, and define corrective actions using the hierarchy of controls. Capture evidence, assign follow-ups, submit for approval, and notify EH and S to drive accountability and prevent recurrence.

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

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
Culligan Incident and Investigation Form
Use this combined accident and investigation form to log incidents across warehouses, manufacturing and logistics. Record incident details, persons involved, injuries and body part, PPE, first aid, witnesses, environmental conditions, and RIDDOR. Guide root cause analysis with 5 Whys or Ishikawa and assign corrective actions, sign offs and follow up to prevent recurrence.
by Tiffany Argent, from the Community
Downloads: 10+
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Template
Incident Investigation & Root Cause Analysis
Use this incident investigation and root cause analysis template to document incident details, classify type and location, record contributing behaviors and conditions, and perform Heinrich quick analysis. Guide your team through 5 Whys and fishbone categories (People, Machine, Method, Materials, Environment, Measurement) to identify root causes, then define corrective actions, PPE, training, and safety coaching with evidence photos to prevent recurrence.
by Jerome Stevenson, from the Community
Downloads: 20+
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Template
Accident and Incident Investigation Report Form
Use this investigation report form to document accidents and incidents thoroughly. Record event details, witnesses and evidence, injuries and first aid, authorization and training, risk assessments, environmental conditions, equipment and PPE, root causes, and corrective actions. Includes prompts for RIDDOR reporting and follow-up verification to help prevent recurrence.
by Chris Blair, from the Community
Downloads: 10+
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Template
Internal Investigation Incident Report Template
This maritime incident investigation template helps teams collect facts, evidence, and root causes for accidents, injuries, hazards, and near misses onboard vessels. Capture incident details, vessel and crew information, site conditions, medical treatment, and immediate actions. Attach photos or videos, log corrective actions, and complete a structured root cause analysis using five whys. Assess recurrence likelihood, verify rectifications, and finalize sign-off for accountability and follow-up.
by Stanley Liew, from the Community
Downloads: 0
Get

Culligan Incident and Investigation Form

Use this combined accident and investigation form to log incidents across warehouses, manufacturing and logistics. Record incident details, persons involved, injuries and body part, PPE, first aid, witnesses, environmental conditions, and RIDDOR. Guide root cause analysis with 5 Whys or Ishikawa and assign corrective actions, sign offs and follow up to prevent recurrence.

by Tiffany Argent, from the Community

10+

Get

Template

Incident Investigation & Root Cause Analysis

Use this incident investigation and root cause analysis template to document incident details, classify type and location, record contributing behaviors and conditions, and perform Heinrich quick analysis. Guide your team through 5 Whys and fishbone categories (People, Machine, Method, Materials, Environment, Measurement) to identify root causes, then define corrective actions, PPE, training, and safety coaching with evidence photos to prevent recurrence.

by Jerome Stevenson, from the Community

20+

Get

Template

Accident and Incident Investigation Report Form

Use this investigation report form to document accidents and incidents thoroughly. Record event details, witnesses and evidence, injuries and first aid, authorization and training, risk assessments, environmental conditions, equipment and PPE, root causes, and corrective actions. Includes prompts for RIDDOR reporting and follow-up verification to help prevent recurrence.

by Chris Blair, from the Community

10+

Get

Template

Internal Investigation Incident Report Template

This maritime incident investigation template helps teams collect facts, evidence, and root causes for accidents, injuries, hazards, and near misses onboard vessels. Capture incident details, vessel and crew information, site conditions, medical treatment, and immediate actions. Attach photos or videos, log corrective actions, and complete a structured root cause analysis using five whys. Assess recurrence likelihood, verify rectifications, and finalize sign-off for accountability and follow-up.

by Stanley Liew, from the Community

Get

Safety and Environmental Observation Investigation

About author

You might also like

Culligan Incident and Investigation Form

Incident Investigation & Root Cause Analysis

Accident and Incident Investigation Report Form

Internal Investigation Incident Report Template

You might also like

Culligan Incident and Investigation Form

Incident Investigation & Root Cause Analysis

Accident and Incident Investigation Report Form

Internal Investigation Incident Report Template