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This workplace incident report template includes the basic guidelines and best practices of what to include to make sure the report includes all the details it should. Once a report is written, it should be kept on record in the workplace.
Accident Investigation Report Sample. Here’s an accident investigation report sample in PDF format. This example followed the tips on how to write a good accident investigation report and included photos for additional context on the events surrounding an accident.
Included on this page, you will find an employee incident/accident report form, a supervisor's incident investigation report template, a statement of witness to accident template, an employee's return to work plan, and many more helpful workplace accident report forms.
SUPERVISOR’S INCIDENT INVESTIGATION REPORT FORM INSTRUCTIONS This form is to be completed by the supervisor of an employee that has experienced an incident resulting in a serious injury or illness. It shall be completed in a timely manner following an incident, and can also be used to investigate a "near miss"
Complete an Incident Investigation Report after you have gathered all possible evidence. See the text for information on how to complete this form. ©2009 National Safety Council.
Accident Investigation Outline 1. Overview a. Definition of Terms b. Purpose of Incident Investigation c. Incident Investigation Preparation d. Visiting the Incident Scene e. Interview Witnesses f. Analyzing the Evidence g. Writing the Report h. Conclusion 2. Definition of Terms a. Accident – Any unforeseen event, which causes injury or ...
Freely download professionally created accident incident report template. You can download the template in Microsoft Word, PDF or Excel Spreadsheet formats. No login required.