Incident Investigation Report Form
Editable Word incident investigation report form for Queensland workplaces: team, timeline, evidence, failed controls, root causes, corrective actions by the hierarchy of controls and review of the risk assessment.
RG
Written by Ryan Graham, health and safety professional (16 years on Queensland sites)
$14.99 incl. GST
AUD · one-off purchase · instant download
- Instant download · your links arrive by email straight after checkout
- Make it yours in minutes · edit in Microsoft Word or Excel and add your logo
- Quality guarantee · we'll fix it or refund you if it isn't as described
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About this template
A form for the investigation that follows an incident report. It suits small and medium businesses, supervisors and safety officers who need to find out why something happened and fix the controls. Use it after the Incident Report Form, not instead of it.
What Is Included In Our Incident Investigation Report Form?
- Investigation details that link back to the Incident Report Form
- Notifiable incident check with notice, site preservation and record details
- Investigation team and consultation with the health and safety representative
- Timeline of events and an evidence checklist
- Factors involved and controls that failed or were missing, by level of the hierarchy
- Root causes and contributing factors
- Corrective actions with owner, due date and check
- Review of the risk assessment, SWMS or procedure
- Sharing findings, sign-off and close-out
What You Get
- An editable Microsoft Word form (3 pages), A4 portrait, to fill in on screen or print
- Tick boxes and date pickers that work in Word
- Business details typed once and filled in on every page, plus a space for your logo
- Sign-off and document control
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.
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.
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 (registers are Excel). Edit it in Word or Excel, or free in Word and Excel 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, we'll fix it, and if we can't, we'll refund you (or give you store credit if you'd prefer). Check the sample pages first, as we don't refund a change of mind.
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