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Accident Investigation Form Developed by Easy HR Pty Ltd (ABN 67 100 061 747) http://www.easyhr.com.au This form should be used as a standard template for investigating any accidents, incidents or
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How to fill out accident investigation form

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How to fill out an accident investigation form:

01
Start by providing personal information: Fill in your name, contact details, job title, and any other required identification information.
02
Specify the date, time, and location of the accident: Provide accurate details about when and where the incident occurred.
03
Describe the accident: Write a detailed account of what happened, including the sequence of events, contributing factors, and any witnesses present.
04
Record any injuries or damages: Indicate any injuries sustained by individuals involved and document any property damage caused by the accident.
05
Identify the parties involved: Write down the names, job titles, and contact information of all individuals who were part of the accident, including any supervisors or managers present.
06
Gather witness statements: If there were any witnesses to the accident, ask them to provide a statement regarding what they saw or heard.
07
Note any immediate action taken: If any immediate steps were taken to address the accident or prevent further harm, record them in this section.
08
Analyze the root causes: Identify the underlying factors that contributed to the accident, such as inadequate training, equipment failure, or unsafe working conditions.
09
Outline suggestions for prevention: Offer recommendations on how similar accidents can be prevented in the future, considering measures like improved training, policy changes, or additional safety equipment.
10
Review and sign: Carefully read through the completed form, ensuring all details are accurate and comprehensive. Finally, sign and date the form to confirm its authenticity.

Who needs an accident investigation form?

01
Employers: Employers are responsible for providing a safe work environment. They may need accident investigation forms to assess potential hazards, address safety issues, and implement preventative measures.
02
Safety officers or investigators: Professionals tasked with investigating accidents and identifying potential causes or safety breaches often require accident investigation forms to document their findings and recommendations.
03
Insurance companies: When claims are made for compensation due to an accident, insurance companies may request accident investigation forms as evidence to evaluate liability and coverage.
04
Regulatory agencies: Government agencies overseeing workplace safety and compliance typically require accident investigation forms to monitor adherence to safety regulations and identify trends or recurring issues.
05
Legal purposes: Accident investigation forms may be used as supporting documentation in legal proceedings related to workplace accidents, for both plaintiffs and defendants.
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Accident investigation form is a document used to record details about an accident, including the causes, contributing factors, and recommendations for prevention.
Employers are usually required to file accident investigation forms for workplace accidents.
Accident investigation forms can be filled out by providing detailed information about the accident, including date, time, location, people involved, and circumstances leading up to the accident.
The purpose of accident investigation form is to identify the causes of accidents, prevent future accidents, and improve workplace safety.
Information such as date, time, location, nature of injuries, witness statements, and possible causes of the accident must be reported on accident investigation form.
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