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Incident # INCIDENT INVESTIGATION / ROOT CAUSE ANALYSIS Incidents deemed necessary, shall be investigated by the Risk/EHS Manager to be used as lessons learned and shared with appropriate Departments/Employees
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How to fill out matc incident investigation form

01
Start by opening the MATC Incident Investigation Form document.
02
Read the instructions provided on the form to familiarize yourself with the required information.
03
Enter the date and time of the incident in the designated fields.
04
Provide a brief description of the incident, including details such as location, people involved, and any witnesses.
05
Identify the potential causes of the incident and document them.
06
In the next section, list any actions taken immediately after the incident to mitigate its effects or prevent recurrence.
07
Indicate whether any injuries occurred and provide details if applicable.
08
Include any photographs, evidence, or relevant documents that support the investigation.
09
If necessary, document any additional comments or findings related to the incident.
10
Once you have completed all the required fields, review the form to ensure accuracy and completeness.
11
Submit the form to the appropriate authority or personnel according to the established protocols.

Who needs matc incident investigation form?

01
Employers and supervisors responsible for investigating workplace incidents.
02
Safety officers or designated personnel in organizations implementing the MATC incident investigation process.
03
Any individual involved in an incident who wishes to report and document the details for further analysis and improvement.
04
Regulatory authorities or auditors who assess compliance with incident investigation requirements.
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MATC incident investigation form is a document used to report and investigate incidents that occurred at Madison Area Technical College (MATC).
All staff, faculty, and students who witness or are involved in an incident at MATC are required to file an incident investigation form.
To fill out the MATC incident investigation form, you must provide detailed information about the incident, including the date, time, location, individuals involved, and a description of what happened.
The purpose of the MATC incident investigation form is to document and analyze incidents in order to prevent future occurrences and ensure the safety of the MATC community.
The MATC incident investigation form must include information about the incident, individuals involved, witnesses, any injuries or damages, and steps taken to address the incident.
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