Get Employer Incident Investigation Report (eiir) Form. Refer To The Companion Quick Guide For 2020-2025

Completing the Employer Incident Investigation Report (EIIR) Form is essential for documenting workplace incidents. This guide will provide you with clear, step-by-step instructions to help you fill out the form accurately and efficiently, ensuring that all necessary information is captured.

Follow the steps to fill out the EIIR Form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete the employer's information section. Provide the legal name and trade name of the employer, the WorkSafeBC account number, the operating location number, and the head office address including city, province, and postal code. Don’t forget to include the name of the employer's representative along with their phone number and email address.
3. Fill in the details of the injured persons. Include their last name, first name, and job title.
4. Document the place, date, and time of the incident. Specify the exact location with street address or GPS coordinates, and ensure to record the date and time clearly.
5. Select the type of occurrence that applies by checking all relevant boxes. This includes various incident types such as serious injury, dangerous incidents, or deaths.
6. Choose the report type. Depending on the incident, select whether this is a preliminary investigation report, interim corrective action report, or a full investigation report. Record the report date appropriately.
7. List witnesses by providing their last name, first name, and job title.
8. Enter other persons whose presence might be necessary for the investigation. Similar to the witness section, include the last name, first name, and job title.
9. Describe the sequence of events that led up to the incident. Detail any relevant events from earlier that day or previously.
10. Identify unsafe conditions, acts, or procedures that contributed to the incident. Clearly describe any factors that may have led to the hazard.
11. If applicable, provide details about the nature of the serious injury. This allows for a better understanding of the incident's impact.
12. Summarize the incident briefly in the required section, including any unsafe factors and resulting injuries.
13. Document corrective actions that were identified and taken to prevent similar incidents. Assign each action to a responsible individual, with expected completion dates.
14. Explain any blank areas in the report, providing the reasons for the absence of information.
15. List the persons who participated in the preliminary investigation, ensuring all required signatures and dates are included.
16. For full investigations, complete a detailed analysis of the causes of the incident and the full description of what occurred.
17. Identify additional corrective actions necessary to prevent recurrence of similar incidents, assigning responsibilities and dates.
18. List those who carried out or participated in the full investigation, ensuring all necessary information is documented.
19. Include other relevant workplace parties to ensure all necessary stakeholders are informed.
20. After completing all sections, ensure to save your changes, download, print, or share the form as necessary.

Complete the Employer Incident Investigation Report (EIIR) Form online today to ensure a thorough and effective documentation of workplace incidents.