Get Accident Investigation Report - Axa Connect - Axaconnect Co

Filling out the Accident Investigation Report is essential for documenting workplace incidents. This guide provides clear instructions to help you accurately complete the report online, ensuring that all necessary information is captured effectively.

Follow the steps to successfully fill out the Accident Investigation Report.

1. Click the ‘Get Form’ button to access the form and open it in the editor.
2. Begin with the general information section. Fill in the date of the accident, the time it occurred, and the exact location. Include a brief description of the task that was being conducted at the time of the incident.
3. Identify whether the task involved has been assessed for risk, and indicate if there is a formal safe system of work established for it. Provide information on the condition of the immediate area by assessing floors, steps, access/exits, lighting, and any other relevant conditions.
4. If machinery was involved in the accident, detail the type of equipment, the date of last service, the date of purchase, and any faults discovered during the investigation.
5. Complete the section regarding the person involved in the accident. This includes their name, address, length of service, employment status, job title, age, and clock number. Indicate if the individual was authorized to perform the assigned task and if they received appropriate training.
6. Describe the events leading to the accident as reported by the individual involved. You may need to draw a diagram or attach photographs and record how many items are attached.
7. Document the nature of the injury and any first aid that was administered. Specify whether the injured person is back at work, in the hospital, or at home, and whether the incident is reportable under RIDDOR.
8. If there were witnesses to the incident, fill out the witness statement section. Include their name, address, job title, and a recounting of what they observed.
9. Complete the findings and recommendations section by stating the conclusions drawn from your investigation and suggesting preventative measures. Indicate which of these measures have already been implemented.
10. Finally, provide your details as the accident investigator, including your name, address, job title, and the date of the investigation. Sign the form to confirm that the information provided is accurate.
11. Once all sections of the form are completed, you can save your changes, download the document, print it, or share it according to your needs.

Complete and submit your Accident Investigation Report online today to ensure compliance and accurate record-keeping.