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FSG Incident/Accident Investigation Template

by Daniel Gray, from the Community

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This FSG Incident/Accident Investigation template helps safety leads document workplace events thoroughly. Capture investigation leadership, incident details, injury types and severity, tasks being performed, and Worksafe notification. Record medical treatment, witness statements with confirmations, and timelines. Identify causes and contributing factors such as PPE failure, training gaps, or poor housekeeping. Plan immediate corrective steps and preventive actions, then complete reporting, results, and authorisations. Designed to support compliant, consistent investigations and safer worksites.

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

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.