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SAMPLE ACCIDENT/INCIDENT INVESTIGATION FORM Instruction: This form must be completed by senior management and/or a supervisor whenever an accident/incident occurs. A copy of the completed report must
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The sample accident/incident investigation form is a document used to record details of an accident or incident that occurred in the workplace.
Employers are typically required to file the sample accident/incident investigation form.
To fill out the sample accident/incident investigation form, provide information about the date, time, location, individuals involved, witnesses, description of the accident/incident, and any corrective actions taken.
The purpose of the sample accident/incident investigation form is to identify the causes of accidents/incidents, implement corrective actions to prevent future occurrences, and comply with regulations.
Information such as date, time, location, individuals involved, witnesses, description of the accident/incident, and corrective actions taken must be reported on the sample accident/incident investigation form.
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