Get the free Incident Investigation Form - BC Forest Safety Council - bcforestsafe

Incident Investigation SECTION 1 Please refer to reference material on pages 5 and 6 of this form to assist in filling out required fields. Company Name WorkSafeBC Account # Company Address First

How to fill out incident investigation form

How to fill out an incident investigation form:

1. Start by providing your personal information: Fill in your full name, contact details, and position within the organization. This information will help identify you as the person responsible for submitting the form.
2. Describe the incident: Provide a detailed account of the incident, including the date, time, and location. Explain what happened, who was involved, and any other relevant details. Be as specific and objective as possible.
3. Identify witnesses: If there were any witnesses to the incident, make sure to include their names and contact information. Their testimonies may be valuable during the investigation process.
4. Document injuries or damages: If there were any injuries or damages resulting from the incident, make sure to document them accurately. Include the type and extent of injuries, as well as any property damage incurred.
5. Provide a timeline: Create a chronological order of events leading up to the incident. This timeline will help investigators understand the sequence of events and determine possible causes.
6. State the cause of the incident: Based on your observations and information gathered, provide your assessment of what caused the incident. It could be a specific action, equipment malfunction, lack of training, or any other factor. Just make sure to back up your assessment with evidence or witnesses' statements.
7. Suggest preventive measures: To avoid similar incidents in the future, suggest preventive measures that could be implemented. This could include improved safety protocols, additional training, or equipment upgrades.
8. Review and sign the form: Before submitting the form, carefully review all the information provided. Ensure everything is accurate and complete. Then, sign and date the form to acknowledge that all the information is true to the best of your knowledge.

Who needs an incident investigation form:

1. Employers: Employers are responsible for ensuring a safe work environment for their employees. By using an incident investigation form, they can thoroughly investigate any workplace accidents or incidents, identify hazards, and take appropriate corrective actions.
2. Workplace Safety Committees: Safety committees play a crucial role in monitoring workplace safety and promoting a culture of safety within an organization. Incident investigation forms help these committees analyze incidents, identify trends, and recommend improvements to prevent future incidents.
3. Regulatory Agencies: Regulatory agencies, such as Occupational Safety and Health Administration (OSHA), often require incident investigation reports for compliance purposes. These reports help regulatory bodies assess an organization's commitment to maintaining a safe and healthy workplace.

Overall, anyone involved in incident investigations, workplace safety, or compliance with regulatory agencies may need an incident investigation form. It serves as a valuable tool to document incidents, analyze causes, and implement preventive measures to enhance workplace safety.

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