Template

Mitti Incident Investigation Report Template

by Jeff Q, from the Community

This Mitti incident investigation template helps teams document serious incidents from first report through close out. Capture incident details, environmental conditions, and a timeline of events. Log evidence, vehicles, equipment, damages, and other items. Record people involved, statements, injuries, and affected body parts. Perform root cause analysis using contributing factors and five whys, then assign and track corrective actions. Finish with investigator sign off and follow up tasks. Designed for workplace health and safety across industries.

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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
Motor Mall Incident Report Full Investigation
Use this incident investigation report template to document incidents from first notification through root cause. Record incident details, timelines, environmental conditions, evidence and attachments, vehicle and equipment logs, damages, and people involved. Capture statements, injury types and body parts affected, and medical treatment. Perform root cause analysis, note contributing factors, and add corrective actions. Finish with sign off and follow up to close out the investigation.
by Liam Daniels, from the Community
Downloads: 0
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Template
Incident Investigation Report Template
This comprehensive incident investigation report template helps teams capture the facts, evidence, and outcomes of workplace incidents from start to finish. Record incident details and timelines, document weather conditions, log evidence with photos, and track vehicles, equipment, damages, and other items. Capture people involved, witness statements and signatures, and detailed injury information including type and affected body parts. Conduct a structured root cause analysis using contributing factors and five whys to identify underlying causes and likelihood of recurrence. Plan and verify corrective actions and recommendations, then finalize with investigator and reviewer sign-offs and follow-up assignments. Ideal for construction and field operations seeking a thorough, repeatable approach to incident documentation and prevention.
by Mark Baylis, from the Community
Downloads: 10+
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Template
WAFarmers Incident Investigation Report Template
This WAFarmers incident investigation template helps teams capture complete incident details, from date, time, and location to weather conditions and a timeline of events. Log evidence, equipment, vehicles, damages, and other items with photos and IDs. Record people involved, statements, injuries, and affected body parts. Perform root cause analysis, evaluate likelihood of recurrence, and add corrective actions. Conclude with sign-off and follow-up to produce a thorough incident report.
by Trevor Whittington, from the Community
Downloads: 10+
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Template
Incident Report: Full Investigation and Report
This comprehensive incident investigation template helps teams capture incident details, build a timeline, and attach evidence such as equipment, vehicles, damages, and other items. It includes structured logs for people involved, statements, and injury details with affected body parts. Teams can assess severity, medical attention, environmental conditions, and contributing factors. Root cause analysis prompts (including likelihood of recurrence) guide corrective actions and follow-up. Final sign-off fields ensure accountability and closure for thorough incident reporting.
by Mark Playforth, from the Community
Downloads: 0
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Motor Mall Incident Report Full Investigation

Use this incident investigation report template to document incidents from first notification through root cause. Record incident details, timelines, environmental conditions, evidence and attachments, vehicle and equipment logs, damages, and people involved. Capture statements, injury types and body parts affected, and medical treatment. Perform root cause analysis, note contributing factors, and add corrective actions. Finish with sign off and follow up to close out the investigation.

by Liam Daniels, from the Community

Get

Template

Incident Investigation Report Template

This comprehensive incident investigation report template helps teams capture the facts, evidence, and outcomes of workplace incidents from start to finish. Record incident details and timelines, document weather conditions, log evidence with photos, and track vehicles, equipment, damages, and other items. Capture people involved, witness statements and signatures, and detailed injury information including type and affected body parts. Conduct a structured root cause analysis using contributing factors and five whys to identify underlying causes and likelihood of recurrence. Plan and verify corrective actions and recommendations, then finalize with investigator and reviewer sign-offs and follow-up assignments. Ideal for construction and field operations seeking a thorough, repeatable approach to incident documentation and prevention.

by Mark Baylis, from the Community

10+

Get

Template

WAFarmers Incident Investigation Report Template

This WAFarmers incident investigation template helps teams capture complete incident details, from date, time, and location to weather conditions and a timeline of events. Log evidence, equipment, vehicles, damages, and other items with photos and IDs. Record people involved, statements, injuries, and affected body parts. Perform root cause analysis, evaluate likelihood of recurrence, and add corrective actions. Conclude with sign-off and follow-up to produce a thorough incident report.

by Trevor Whittington, from the Community

10+

Get

Template

Incident Report: Full Investigation and Report

This comprehensive incident investigation template helps teams capture incident details, build a timeline, and attach evidence such as equipment, vehicles, damages, and other items. It includes structured logs for people involved, statements, and injury details with affected body parts. Teams can assess severity, medical attention, environmental conditions, and contributing factors. Root cause analysis prompts (including likelihood of recurrence) guide corrective actions and follow-up. Final sign-off fields ensure accountability and closure for thorough incident reporting.

by Mark Playforth, from the Community

Get

Mitti Incident Investigation Report Template

About author

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Motor Mall Incident Report Full Investigation

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Motor Mall Incident Report Full Investigation

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