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TOOL
ACCIDENT/INCIDENT INVESTIGATION FORM
(ONTARIO Version)
About This TOOL
NAME: Model Accident/Incident Investigation Form
BENEFITS: Enables you to systematically capture the information you need
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How to fill out tool accidentincident investigation form

How to fill out a tool accident/incident investigation form:
01
Begin by entering the date and time of the accident/incident. This helps establish the timeline and provides a reference point for further investigation.
02
Provide details of the person involved in the accident/incident. Include their name, job title, and contact information. This information is crucial for follow-up and communication purposes.
03
Describe the accident/incident in detail. Include information such as the location, nature of the incident, and any contributing factors. Be as specific as possible to ensure a comprehensive investigation.
04
Identify any witnesses present at the time of the accident/incident. Note down their names and contact information. Their testimony may be valuable during the investigation process.
05
List any tools involved in the accident/incident and provide relevant details about them. Include the type of tool, brand, model, and any other relevant information. This will help determine if any faulty equipment played a role in the incident.
06
Document any injuries or damages resulting from the accident/incident. Include information about the severity of injuries, medical treatment needed, and any property damage. This will aid in assessing the extent of the incident's impact.
07
Analyze the root cause of the accident/incident. Evaluate factors such as human error, equipment malfunction, or unsafe work conditions. This analysis is crucial for implementing preventative measures in the future.
08
Consider any actions taken immediately after the accident/incident. This may include first aid provided, emergency response, or steps taken to mitigate further damage. Documenting these actions helps provide a comprehensive picture of the situation.
09
In the conclusion section, summarize the investigation findings and propose any corrective actions or recommendations. If additional preventive measures are necessary, clearly state them here.
Who needs a tool accident/incident investigation form?
01
Employers: Employers are responsible for maintaining a safe work environment. Conducting thorough investigations helps them identify hazards and implement preventive measures to protect their employees.
02
Employees: Employees who have witnessed or been involved in an accident/incident have a responsibility to report it. Filling out an investigation form ensures that crucial information is recorded accurately.
03
Safety Officers: Safety officers or supervisors are often tasked with investigating accidents/incidents. They need tool accident/incident investigation forms to gather relevant details and determine appropriate actions to prevent future incidents.
04
Regulatory Agencies: Regulatory agencies, such as OSHA (Occupational Safety and Health Administration), may require companies to maintain accident/incident investigation forms. These agencies use these forms to monitor workplace safety and enforce regulations.
In summary, anyone involved in or responsible for workplace safety can benefit from using a tool accident/incident investigation form. It helps gather essential information, analyze the incident, and take appropriate measures to prevent similar incidents in the future.
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What is tool accidentincident investigation form?
The tool accident/incident investigation form is a document used to report and document accidents or incidents involving tools in the workplace.
Who is required to file tool accidentincident investigation form?
Employers are usually required to file the tool accident/incident investigation form when an accident or incident occurs in the workplace.
How to fill out tool accidentincident investigation form?
The tool accident/incident investigation form should be filled out with details of the accident or incident, including date, time, location, description of what happened, and any injuries sustained.
What is the purpose of tool accidentincident investigation form?
The purpose of the tool accident/incident investigation form is to help identify the causes of accidents or incidents, prevent future occurrences, and ensure compliance with workplace safety regulations.
What information must be reported on tool accidentincident investigation form?
Information such as date, time, location, description of incident, injuries sustained, names of individuals involved, and any witnesses should be reported on the tool accident/incident investigation form.
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