Skip to content
SafetyCulture
Template

Accident Investigation Report Template

by SafetyCulture

Free
1,860

Accident investigation report template is used to determine the root cause of the accident to prevent future accidents. This template can be used by workplace supervisors to record accurate information. Follow the points below to utilize this template: 1. Gather the general information of the injured employee 2. Identify the details of the accident 3. Describe the consequences of the accident 4. Collect witness/es statements if applicable 5. Recommend actions to avoid accident reoccurrence

About author

Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.

You might also like

  • Vehicle Accident Report
    SafetyCulture logo
    Template

    Vehicle Accident Report

    Vehicular accidents inevitably occur anytime and anywhere. Use this vehicle accident report to generate summary of a vehicle accident. This can be used to identify the root cause of the accident, document physical damages of vehicle, and record witness statements. Capture photo evidence of the injury and environment and track the exact location of the accident being reported.

    by SafetyCulture
    760 downloads
    Get
  • Accident Incident Report Form
    SafetyCulture logo
    Template

    Accident Incident Report Form

    An accident incident report form is used when someone got injured as a result of collision. This template can be used by fleet managers to document the details of the incident. Use this template to guide the inspector to perform the following: 1. Capture all contact details and verification information of the injured person 2. Describe full details of the injury and the accident 3. Take photo evidence of the surroundings 4. Record emergency services involvement (i.e. police, fire, paramedics), hospitalization information and witness statements 5. Capture electronic signatures from the relevant person involved and injured person

    by SafetyCulture
    179 downloads
    Get
  • Accident Report Form
    SafetyCulture logo
    Template

    Accident Report Form

    Use this accident injury report form to record accidents that have led to injured employees and persons in the workplace, on-site or in the field. Find the root cause of the incident so you can prevent accidents from happening again

    by SafetyCulture
    2354 downloads
    Get
  • Accident Investigation Form - Worksafe NZ
    SafetyCulture logo
    Template

    Accident Investigation Form - Worksafe NZ

    Created by WorkSafe New Zealand, this accident investigation form can be used to record details of an incident as part of an investigation.

    by SafetyCulture
    14995 downloads
    Get