Get Canada Employer Incident Investigation Report (eiir) 2022

Filling out the Canada Employer Incident Investigation Report (EIIR) is essential for documenting workplace incidents accurately. This guide provides clear instructions on how to complete the form online, ensuring compliance with regulatory requirements while making the process straightforward for all users.

Follow the steps to fill out the EIIR effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by completing the employer’s information section. Input the employer's legal name and trade name, operating location number, WorkSafeBC account number, head office address, city, province, postal code, and contact information for the employer’s representative including their name and email address.
3. In the injured persons section, provide the last name, first name, and job title of the individuals involved in the incident.
4. Specify the place, date, and time of the incident. Include the location, city, province, date, and the exact time using the correct format.
5. Select the type of occurrence by checking all applicable boxes, such as serious injuries, fatalities, or dangerous incidents.
6. Indicate the report type by selecting all relevant options, including preliminary, interim corrective, or full investigation reports. Be sure to enter the report date.
7. List any witnesses by providing their last name, first name, and job title.
8. Document the sequence of events leading up to the incident in detail, including any relevant past occurrences that contributed to the situation.
9. Outline any unsafe conditions, acts, or procedures that significantly contributed to the incident in the appropriate section.
10. If applicable, describe the nature of the serious injury sustained, selecting from the provided options.
11. Summarize the brief description of the incident, highlighting key events and unsafe factors.
12. Detail any corrective actions that have been identified and taken to prevent similar incidents in the future. Assign these actions to responsible individuals and include expected and completed dates.
13. If there are any blank areas in the preliminary report, explain the circumstances that contributed to this lack of information.
14. List the names and job titles of all participants in the investigation, ensuring to include signatures and dates where required.
15. In the full report, analyze the causes of the incident and update any necessary details from previous sections.
16. Provide a full description of the incident, based on the previously summarized brief description.
17. Identify and note any additional corrective actions required to prevent recurrence. Assign these to individuals and provide relevant dates.
18. List all persons involved in the full investigation with their details.
19. Finally, include any other relevant workplace parties and their contact information.
20. Once all sections are completed, save your changes, and you may choose to download, print, or share the form as needed.

Complete and submit your Employer Incident Investigation Report (EIIR) online today to ensure compliance and improve workplace safety.