Incident Investigation Procedure and Root Cause Analysis
Editable Word incident investigation procedure and root cause analysis for Queensland: notification, scene preservation, evidence, interviews, Five Whys, cause tree, corrective actions and close-out.
RG
Written by Ryan Graham, health and safety professional (16 years on Queensland sites)
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About this template
An incident investigation procedure for Queensland businesses that want a method, not only a form. It sets the level of investigation by potential seriousness and gives the steps for evidence, interviews, root cause analysis and corrective actions in hierarchy order. It builds on the Incident Investigation Report Form, which records the facts.
What Is Included In Our Incident Investigation Procedure and Root Cause Analysis?
- First response, immediate notification and keeping the site undisturbed (WHS Act ss 38 and 39)
- Three levels of investigation set by potential seriousness
- Investigation leader and team, including a worker or health and safety representative
- Evidence: scene, physical items, records and separate interviews
- Timeline, barrier analysis, Five Whys and cause tree
- Primary, contributing and underlying causes
- Corrective actions in hierarchy of control order with owner and due date
- Checking each action works and consulting workers
- Worksheets for timeline, Five Whys, cause tree, interviews and actions
- Records, trend review and the workers’ compensation report
Legislation and Codes of Practice Referenced
- Work Health and Safety Act 2011 (Qld): ss 35 to 37 (notifiable incidents), s 38 (notification and record), s 39 (preserving the site), ss 47 to 49 (consultation)
- Work Health and Safety Regulation 2011 (Qld): ss 35 to 38 (management of risk, hierarchy, maintenance and review of control measures), s 39 (information, training and instruction)
- Workers’ Compensation and Rehabilitation Act 2003 (Qld): s 133 (employer report to the insurer)
- How to Manage Work Health and Safety Risks Code of Practice 2021 (Qld), an approved code of practice. Under s 26A of the WHS Act we must follow an approved code or manage the risk in a way that gives an equivalent or higher standard
What You Get
- An editable Microsoft Word document (7 pages), A4 portrait
- Business details and document control typed once and filled in on every page, plus a space for your logo
- Purpose, scope and a policy statement with an approval sign-off
- Definitions, and responsibilities for each role
- A step-by-step procedure that says who does what
- Records, training, monitoring and review, related documents and a revision history
Review it and adjust it to suit your business, your sites and the way your team works, and talk it through with your workers. If you have any trouble downloading this template, you can contact us at any time. Please make sure you read our Disclaimer before downloading.
Having trouble with your download? Contact us any time. Please read our Disclaimer before downloading.
How to use it
From download to site in three steps
Buy and download
Check out with card, Apple Pay or Google Pay. Your download buttons appear straight away and the links are emailed to you. Links work for 3 months, so save your copies.
Make it yours
Open it in Microsoft Word or Excel. Add your logo, business details, site and job information, and adjust it to how the work is done.
Brief your crew
Talk it through with the workers doing the job, have them sign on, and keep it on site. Review it whenever the job or conditions change.
What format is it?
Microsoft Word. Edit it in Word, or free in Word for the web, and add your own logo and business details.
How do I get it after I pay?
Your download buttons appear as soon as checkout finishes, and the links are emailed to you. You can re-download from your account at any time.
Is it compliant with Queensland law?
It's written around Queensland's Work Health and Safety Act 2011 and Regulation 2011. Tailor it to your site, consult your workers and review it whenever conditions change; no template can guarantee compliance on its own.
What if it isn't right for my job?
If it doesn't match its description or has a fault, tell us and we'll fix it. If you're still not happy, we'll refund you or give you store credit, your choice. Check the sample pages first, as we don't refund a change of mind.
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