Get Canada Tru Accident/incident Investigation Form 2016-2025

This guide will assist you in accurately completing the Canada TRU Accident/Incident Investigation Form online. The form is essential for documenting workplace accidents, incidents, and spills effectively.

Follow the steps to complete the form systematically.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Enter the employer's name, including the legal and trade name. In this case, input 'Thompson Rivers University' and the WorkSafeBC account number '#157412'.
3. Fill in the operating location number as '# 001 - Education/College' and provide the employer’s head office address, which is '900 McGill Road, Kamloops, BC V2C 0C8'.
4. Include the employer’s representative name as 'Stacey Jyrkkanen', along with a phone number '(250) 371-5805' and an email address 'sjyrkkanen@tru.ca'.
5. In section A, add relevant event information such as the date investigation started, investigation type, investigation status, specific room or floor location, the date and time of the incident, and the names of all witnesses.
6. Indicate whether witness statements were obtained and if pictures or diagrams are attached. Describe the immediate response to the incident and note if a First Aid report was submitted.
7. In section B, provide details about the injured or ill person, such as their last name, first name, occupation, years of service, and reported position, including the date reported and hours worked since the start of the shift.
8. Document the type and severity of the injury or illness and include the employee’s description of the incident. If applicable, specify whether the employee will be on modified duty and if modified duties were offered.
9. In section C, analyze the accident causation by selecting immediate/direct causes, substandard acts, and conditions. Provide a summary of the root cause.
10. In section D, select the report type, including preliminary investigation report, interim corrective action report, full investigation report, and full corrective action report.
11. Outline corrective actions needed in section E, selecting from the hierarchy of controls, and write down actions taken or required along with who is assigned to each task.
12. In section F, gather all necessary signatures from the supervisor, safety officer, safety committee member, and the injured/involved employee.
13. Complete sections G and H, reviewing comments from the Joint Occupational Safety and Health Committee and the management review as necessary.
14. Once the form is filled, save your changes, download the document, print it if needed, or share it with relevant parties.

Begin completing your Canada TRU Accident/Incident Investigation Form online now.