Minor Injuries Investigation for First Aiders

This minor injuries investigation template helps first aiders and supervisors document workplace incidents involving minor harm. Capture incident date and time, injured person details, and classify the type of injury. Record the body part affected and side, describe the incident, and identify causes such as unsafe acts, unsafe conditions, accidents, or negligence. Document treatment provided, results such as fit to resume work, sent to clinic, sent home, or temporarily disabled, and capture names and signatures of the first aider, injured person, team leader, SHE representative, and head of department. Includes a section for refusal of first aid or medical treatment to support compliance and follow‑up.