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Incident Investigation Form
For use by WHS Site Officers
This form is to be used to investigate WHS incidents and is to be completed by the WHS Site Officer following
notification of an incident to
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How to fill out incident investigation form

How to fill out incident investigation form
01
Start by identifying the incident details such as the date, time, and location of the incident.
02
Gather information about the individuals involved in the incident, including their names, job titles, and contact information.
03
Describe the incident in detail, including what happened, where it happened, and any contributing factors.
04
Use specific and objective language when describing the incident and avoid making assumptions or including personal opinions.
05
List any witnesses or individuals who have relevant information about the incident.
06
Collect any evidence or documentation related to the incident, such as photographs, videos, or written statements.
07
Determine the root causes of the incident by conducting a thorough investigation and analysis.
08
Develop recommendations and action steps to prevent similar incidents from occurring in the future.
09
Review the completed form for accuracy and completeness before submitting it for review or further action.
Who needs incident investigation form?
01
The incident investigation form is typically needed by organizations or companies that prioritize safety and want to investigate and document workplace incidents.
02
It is used by safety managers, supervisors, or anyone responsible for conducting incident investigations and implementing corrective actions.
03
The form may also be required by regulatory bodies or insurance companies as part of compliance and risk management procedures.
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What is incident investigation form?
The incident investigation form is a document used to record details about an incident or accident that occurred within an organization.
Who is required to file incident investigation form?
All employees involved in or witness to the incident are required to file an incident investigation form.
How to fill out incident investigation form?
The incident investigation form should be filled out by providing detailed information about the incident, including date, time, location, individuals involved, and a description of what happened.
What is the purpose of incident investigation form?
The purpose of the incident investigation form is to gather information about the incident, identify root causes, and implement corrective actions to prevent future incidents.
What information must be reported on incident investigation form?
The incident investigation form should include details such as date and time of the incident, location, individuals involved, witness statements, description of what happened, and any contributing factors.
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