Describe who was involved, when and where the incident happened, what happened, and how.) Company Name/Logo: Incident Reporting and Investigation Form 10/12/10, Page 2of 3 Why did it happen (Root Cause Analysis) (What was the root cause of the incident, i.e., actually caused the illness, injury, or incident ) Unsafe Acts Unsafe Conditions Management System Deficiencies Improper Work Technique Poor Workstation Design or Layout Improper PPE, Not Used or Used Incorrectly Fire or Explosion Hazard Safety Rule Violation Congested Work Area Operating Without Authorization Hazardous Substances Failure to Warn or Secure Inadequate Ventilation Operating at Improper Speeds Improper Material Storage By-Passing Safety Devices Improper Tool or Equipment Guards Not Used Insufficient Job Knowledge Improper Loading or Placement Slippery Conditions Improper Lifting Poor Housekeeping Servicing or Adjusting Machinery in Motion Excessive Noise Horseplay Inadequate Guarding of Hazards Drug or Alcohol Use Defective Tools/Equipment Unsafe Act(s) of Others Insufficient Lighting Unnecessary Haste Inadequate Fall Protection Other: Other: Lack of Written Procedures or Safety Rules Safety Rules Not Enforced Hazards Not Identified PPE Unavailable Insufficient Worker Training Insufficient Supervisor Training Improper Maintenance Inadequate Supervision Insufficient Job Planning Inadequate Hiring Practices Poor Process Design Inadequate Workplace Inspections Inadequate Equipment Unsafe Design or Construction Unrealistic Scheduling Other: List immediate actions taken and results..
How to draft a Construction Incident Investigation Report? An easy way to start completing your document is to download this Construction Incident Investigation Report template now!
Every day brings new projects, emails, documents, and task lists, and often it is not that different from the work you have done before. Many of our day-to-day tasks are similar to something we have done before. Don't reinvent the wheel every time you start to work on something new!
Instead, we provide this standardized Construction Incident Investigation Report template with text and formatting as a starting point to help professionalize the way you are working. Our private, business and legal document templates are regularly screened by professionals. If time or quality is of the essence, this ready-made template can help you to save time and to focus on the topics that really matter!
Using this document template guarantees you will save time, cost and efforts! It comes in Microsoft Office format, is ready to be tailored to your personal needs. Completing your document has never been easier!
Download this Construction Incident Investigation Report template now for your own benefit!