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The U.S. Chemical Safety and Hazard Investigation Board, generally referred to as the Chemical Safety Board or CSB, is an independent U.S. federal agency charged with investigating industrial chemical accidents.The CSB conducts root cause investigations of chemical accidents at fixed industrial facilities.

Provide first aid and/or medical care to the injured persons and take action to prevent further injury or damage. Report the accident as required by your company's policies. Investigate the accident as soon as possible after it occurs. Identify the causes of the accident. Report your findings in a written report.

Incident Description. Date / Time / Location. Details of injuries / Damage to equipment / Environmental impact / Impact on production or operations. Risk rating (actual and potential consequence) Photographs. Timeline / Sequence of events.

Start With What You Know. The investigator should record the information about the subject (respondent or accused person) and the details of the complaint. Make Sense of What You Have. Evidence analysis can substantiate claims from either party. Formulate a Conclusion.

Type of incident (injury, near miss, property damage, or theft) Address. Date of incident. Time of incident. Name of affected individual. A narrative description of the incident, including the sequence of events and results of the incident.

Accurate. All data must be clear and specific. Factual. An incident report should be objective and supported by facts. Complete. Ensure that all essential questions (what, where, when, why, and how) are covered in the incident report. Graphic. Valid.

The investigation report should aim to educate and persuade. The report should clearly explain how the conclusions have been reached. Keep the report as short and as clear as possible and avoid any hint of bias.

First: Report the incident occurrence to a designated person within the organization. Provide first aid and medical care to injured person(s) and prevent further injuries or damage.

Investigation Report Form

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