Our health and safety management Incident Investigation Report Form guides you to collect information about an incident, including:

• Names of persons involved (injured or witness)
• Date of incident
• Task being performed when incident happened
• Information about the plant or equipment
• What plant was being used?
• Was the plant used according to a Safe Work Method Statement?
• Was the plant in good working order?
• Were the hazards and risks of the plant assessed in the local Hazard & Risk Register?
• Was the maintenance schedule of the plant described in the local Testing, Inspection & Monitoring Program?
• Investigation team recommendations

 

To download this full health and safety management Incident Investigation Report Form now, together with our full range of other OHS documents, sign up for our $1/week CCS OHS Compliance Membership. All documents are in Word and can easily be amended and implemented.

 

 

Go back to the Incident and Near Miss Report Form

Go forward to the Return To Work Plan