Template

OHS Investigation Template

by Dan Kask, from the Community

10+

A structured OHS investigation checklist for port, marine, and yard operations. Capture incident type, location details, PPE compliance, injuries, witness information, and supervisor statements. Record emergency response, third party involvement such as marine technicians, Transport Canada, or ESDC, and assess SOP adherence. Analyze root causes, define corrective actions, and add recommendations. Includes sections for complaints, chemical or biological exposure, spills and leaks, health concerns, and photo evidence to support a thorough investigation and prevention plan.

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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
Incident Investigation Template (AA-HS-SF-4018)
Use this incident investigation template to guide thorough post-incident reviews. Record injured person details, time and location, witness statements, and evidence such as photos or CCTV. Document RIDDOR notifications, RAMS, training and induction records, inspection and service logs, and permits. Summarize incident types and injuries, analyze root causes across equipment, culture, policy, and environment, then assign corrective actions and obtain investigation team sign-off.
by Jane Pinfold, from the Community
Downloads: 0
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Template
INCIDENT/NEAR MISS INVESTIGATION REPORT and FIRST REPORT OF INJURY
This document represents a detailed workplace incident investigation form designed to thoroughly document and analyze workplace accidents, injuries, and near-misses. The form includes essential sections for incident identification, employee information, injury details, investigation analysis, equipment involvement, training verification, and corrective actions. It also covers management review processes, insurance reporting requirements, and follow-up procedures. The form ensures proper documentation of workplace incidents while facilitating systematic investigation and implementation of preventive measures. Key components include incident location details, witness statements, PPE verification, and management sign-offs, making it a crucial tool for maintaining workplace safety standards and regulatory compliance.
by Jason Richey, from the Community
Downloads: 50+
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Template
Incident and Investigation Report
Use this Incident and Investigation Report template to capture critical WHS details after an event. Record incident type, location, dates, injured or ill persons, treatment, injury descriptions, dangerous events, electrical and environmental incidents, near misses, and property or vehicle damage. Collect evidence, witness statements, and photos, then complete investigation steps including PEEPO analysis, contributing factors, root cause, and corrective actions. Includes management notifications, sign-offs, and communication plans to support compliance with Work Health and Safety requirements and consistent reporting across teams.
by Angela Warren, from the Community
Downloads: 10+
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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+
Get

Incident Investigation Template (AA-HS-SF-4018)

Use this incident investigation template to guide thorough post-incident reviews. Record injured person details, time and location, witness statements, and evidence such as photos or CCTV. Document RIDDOR notifications, RAMS, training and induction records, inspection and service logs, and permits. Summarize incident types and injuries, analyze root causes across equipment, culture, policy, and environment, then assign corrective actions and obtain investigation team sign-off.

by Jane Pinfold, from the Community

Get

Template

INCIDENT/NEAR MISS INVESTIGATION REPORT and FIRST REPORT OF INJURY

This document represents a detailed workplace incident investigation form designed to thoroughly document and analyze workplace accidents, injuries, and near-misses. The form includes essential sections for incident identification, employee information, injury details, investigation analysis, equipment involvement, training verification, and corrective actions. It also covers management review processes, insurance reporting requirements, and follow-up procedures. The form ensures proper documentation of workplace incidents while facilitating systematic investigation and implementation of preventive measures. Key components include incident location details, witness statements, PPE verification, and management sign-offs, making it a crucial tool for maintaining workplace safety standards and regulatory compliance.

by Jason Richey, from the Community

50+

Get

Template

Incident and Investigation Report

Use this Incident and Investigation Report template to capture critical WHS details after an event. Record incident type, location, dates, injured or ill persons, treatment, injury descriptions, dangerous events, electrical and environmental incidents, near misses, and property or vehicle damage. Collect evidence, witness statements, and photos, then complete investigation steps including PEEPO analysis, contributing factors, root cause, and corrective actions. Includes management notifications, sign-offs, and communication plans to support compliance with Work Health and Safety requirements and consistent reporting across teams.

by Angela Warren, from the Community

10+

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

OHS Investigation Template

About author

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Incident Investigation Template (AA-HS-SF-4018)

INCIDENT/NEAR MISS INVESTIGATION REPORT and FIRST REPORT OF INJURY

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You might also like

Incident Investigation Template (AA-HS-SF-4018)

INCIDENT/NEAR MISS INVESTIGATION REPORT and FIRST REPORT OF INJURY

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