Incident Report Full Investigation TEMPLATE INCIDENT REPORT FULL INVESTIGATION When an incident occurs, whether itʼs an injury, near-miss, equipment failure, or other unsafe event, itʼs essential to conduct a full investigation that goes beyond a basic incident summary. Use this Incident Report - Full Investigation to collect evidence, find root causes of any incident, accident, or injuries that occurred at your workplace. Note the guidelines below while preparing the report: Investigate all incidents and near misses, even those without injury, to uncover hidden risks. Collect all relevant information, e.g., witness statement, maintenance log, training records, equipment data, etc. Look beyond worker error to find the underlying system or management failures. Focus on causes because the goal is prevention, not punishment. Implement corrective actions immediately. Follow up and evaluate the effectiveness of the investigation report to ensure corrective measures actually reduced risks. 01 INFORMATION ON CONDUCTING THE REPORT 1. Date of the incident: 2. Time of the incident: 3. Location of the incident: 4. Site/Project Name: Date of Preparing the Report: Time of Preparing the Report: Location: Prepared by: FIRST INCIDENT 5. Incident priority (Select one): Urgent High Medium Low Trivial 02 6. Incident type (Select Multiple): Hazard Near Miss Slip & Fall Accident Injury Theft Fire Property Damage Chemical Spill Fatality Illness Other 7. Was immediate medical attention administered? (Select one): Yes No 8. What kind of medical attention was administered? First Aid Doctor Consultation Hospital Ambulence Medical Attention was Declined 03 9. Describe the incident: 10. Describe the weather or environmental condition during the incident (If relevant): 11. Name and designation of the on-duty supervisor at the time of the incident: 04