Free Incident Investigation Report Form Template
Incident Investigation Report Form
Please fill out this form completely to document and investigate any incident.
Date
Incident Location
Reporter Name
Please provide your email address.
Phone Number
Role/Position
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Employee
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Supervisor
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Manager
Type of Incident
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Safety Hazard
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Equipment Failure
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Workplace Injury
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Property Damage
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Detailed Account of Incident
Provide a clear and thorough description of what happened, including circumstances and events leading up to the incident.
Root Cause Analysis
Describe the identified cause(s) of the incident, e.g., human error, system failure, environmental factors.
Was the incident preventable?
Relevant Files or Documents
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Supervisor |
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