Get Incident Investigation Report Template

Filling out the Incident Investigation Report Template is an essential process to ensure thorough documentation of workplace incidents. This guide provides clear, step-by-step instructions to assist you in accurately completing the form online.

Follow the steps to successfully complete the Incident Investigation Report Template.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin with section 1, where you will input the employer's information. This includes the employer's legal name and trade name, WorkSafeBC account number, operating location number, and the address details including city, province, and postal code. Ensure to include the name, phone number, and email address of the employer's representative.
3. In section 2, fill in the details of the injured persons. Provide the last name, first name, and job title of the individuals involved in the incident.
4. Proceed to section 3 to document the place, date, and time of the incident. Specify the location where the incident occurred, include the city and province, as well as the date and time in the required format.
5. In section 4, select the type of occurrence by checking all boxes that apply, for example, if it involves a serious injury, dangerous incident, or other circumstances specified in the form.
6. Complete section 5 by indicating the report type. Select any applicable options such as Preliminary Investigation Report, Full Investigation Report, and provide the corresponding report dates.
7. Section 6 requires you to list any witnesses. Include their last names, first names, and job titles.
8. Follow up with section 7, which is for other persons whose presence might aid the investigation. Fill in the required details just as you did in section 6.
9. In section 8, describe the sequence of events that led to the incident. Provide detailed information to depict the circumstances and activities that occurred prior.
10. In section 9, outline any unsafe conditions or acts that significantly contributed to the incident. Clearly explain factors that may have led to the hazard.
11. If applicable, proceed to section 10 to describe the nature of the serious injury, if any, by selecting the appropriate categories.
12. In section 11, provide a brief description of the incident, including a summary of events and unsafe factors.
13. Complete section 12 by identifying any corrective actions that were taken. Include who is responsible for these actions and the expected completion dates.
14. If there are any blank areas in the report, section 13 will require you to explain the reasons for this absence of information.
15. Sections 14 through 19 require you to document participants in both the preliminary and full investigations, as well as any other relevant workplace parties.
16. Once all sections are completed, review the form for accuracy and detail. Finally, save your changes, and choose whether to download, print or share the completed form as needed.

Get started on your Incident Investigation Report Template online today.