Get the free Incident investigation form - Workers Health & Safety Centre

Incident investigation form Worker representatives may use the incident investigation form to document the investigation of incidents in the workplace. Incidents include near misses, injuries requiring

How to fill out incident investigation form

How to fill out incident investigation form

1. Obtain the incident investigation form from the designated source or supervisor.
2. Fill in the date and time of the incident.
3. Provide details of the location where the incident took place.
4. Describe the nature of the incident and any injuries or damages that occurred.
5. List any witnesses to the incident and their contact information.
6. Document any actions taken immediately following the incident.
7. Sign and date the form to confirm its accuracy.

Who needs incident investigation form?

1. Employees who have witnessed or been involved in workplace incidents.
2. Supervisors or managers responsible for investigating and addressing workplace incidents.
3. Human resources personnel involved in maintaining a record of workplace incidents.

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What is incident investigation form?

An incident investigation form is a document used to record details about an incident that has occurred, such as accidents, injuries, or near misses, to analyze its causes and prevent recurrence.

Who is required to file incident investigation form?

Typically, employees, supervisors, or designated safety officers who are aware of or involved in the incident are required to file the incident investigation form.

How to fill out incident investigation form?

To fill out an incident investigation form, gather all relevant information about the incident, including the date, time, location, individuals involved, a description of the incident, and any witness statements. Then input this information accurately into the form.

What is the purpose of incident investigation form?

The purpose of the incident investigation form is to document incidents to identify their root causes, facilitate analysis, improve safety protocols, and prevent future occurrences.

What information must be reported on incident investigation form?

The information that must be reported on an incident investigation form typically includes the date and time of the incident, description of the incident, individuals involved, location, witness information, and any corrective actions taken.