Incident Accident Investigation Report Form. Appendix II: Accident report form template. Accident/incident details Date: Time Reported to whom: Full accident/incident details - what happened, or in the case of a near miss, what could have happened.
Upon completion of the Incident Investigation Form, the form should be sent to the OHS Group via Accident/Illness/Incident (AII) Reporting Form & Investigation Report. Why do we perform accident/incident/near-miss investigation? Last updated on This form enables Environmental Health and Safety to implement thorough accident investigations to remedy work-related hazards.
The same principles apply to an inquiry of a minor incident and to the more formal investigation of a serious event.
Security incident - excepting where it is so 'minor' in nature that it does not present a cause for concern, either at the time or for the future if ignored (e.g. one-off obscenity.
An incident investigation report is NOT required under the Workers Compensation Act if none of the above applies or if this incident is a vehicle accident occurring on a public street or Preliminary Investigation Report. Start a free trial now to save yourself time and money! You may choose to not distribute the full incident investigation report in its original form to all workers.