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INCIDENT INVESTIGATION FORM First Stage Investigation Findings from initial investigation and recommendations: Signed Print Name Date / / Second Stage Investigation Explain the outcome of any investigations
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How to fill out incident investigation form first:

01
Begin by providing your personal information, including your name, job title, and contact information. This will help identify who is completing the form and ensure you can be reached if further information is needed.
02
Next, provide details about the incident. Include the date, time, and location of the incident, as well as a description of what happened. Be as specific and detailed as possible, including any contributing factors or witnesses.
03
Identify any injuries or damages that occurred as a result of the incident. This could include physical injuries, property damage, or any other negative impact caused.
04
Evaluate the severity of the incident using a predefined scale, such as a rating system or severity matrix. This will help determine the level of urgency in addressing the issue and ensuring appropriate actions are taken.
05
Analyze the root cause(s) of the incident. This involves identifying the underlying factors or conditions that led to the incident occurring. Consider both immediate causes and any underlying systemic issues that may have contributed.
06
Determine any immediate corrective actions that need to be taken to prevent further incidents or mitigate risk. These actions should address the identified root causes and aim to eliminate or reduce the likelihood of similar incidents happening in the future.
07
Finally, document any additional information or notes that may be relevant to the incident investigation. This could include recommendations for future prevention, any follow-up actions that need to be taken, or any other pertinent details.

Who needs incident investigation form first?

01
Employees involved in the incident: They need to fill out the form to provide their firsthand account of what occurred and any relevant details about the incident.
02
Supervisors or managers: They may need to fill out the form to provide their assessment of the incident, review and approve the information provided by employees, and take appropriate actions based on the investigation findings.
03
Health and safety professionals: They may need access to the incident investigation form first to analyze the incident, identify any gaps in safety procedures, and recommend improvements to prevent future incidents.
04
Regulatory authorities: In some cases, incident investigation forms may need to be filled out first by employees or management and then submitted to regulatory authorities for compliance purposes.
Overall, anyone involved in or responsible for addressing workplace incidents may require access to the incident investigation form first.
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The incident investigation form is a document used to record details about an incident or accident.
The person responsible for the incident or accident is required to file the incident investigation form first.
The form should be filled out with details about the incident, including what happened, when and where it occurred, and any contributing factors.
The purpose of the form is to investigate the incident, identify root causes, and implement corrective actions to prevent future occurrences.
The form should include details such as the date and time of the incident, location, individuals involved, witnesses, and a description of what happened.
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