Incident Investigation Report

[Company Name]

Incident Investigation Report

Guidance: In accordance with General Administrative Regulation 9, employers must investigate incidents to determine the root cause and prevent recurrence. This report formalizes that process.

Section A: Incident Details

Date of Incident:

Time of Incident:

Location of Incident:

Reported By:

Date Reported:

Section B: Persons Involved / Witnesses

Name(s) and Role(s) of Person(s) Involved:

Name(s) and Contact Info of Witness(es):

Section C: Incident Description

Detailed, chronological account of what happened (sequence of events):

Section D: Root Cause Analysis

Guidance: Go beyond the immediate cause. Ask "Why?" multiple times to find the underlying system or management failures that allowed the incident to happen.

Immediate Cause(s) (The unsafe act or condition):

Root Cause(s) (The underlying system/management failure):

Section E: Corrective and Preventive Actions

Guidance: Actions should follow the hierarchy of controls (Elimination, Substitution, Engineering, Admin, PPE) and must be specific, measurable, assignable, realistic, and time-bound (SMART).

Recommended Action:

Responsible Person:

Target Completion Date:

Actual Completion Date:

Status:

Open / Closed

Section F: Investigation Team & Approval

Lead Investigator:

Team Members:

Lead Investigator Signature:

Date:

Reviewed By (Manager):

Date:

Our Mission

To provide accessible, intelligent, and comprehensive OHS solutions that empower businesses and communities to create safer environments for everyone, everywhere.

The Builder's Ethos

Structure: 🛡️ We build organised, logical, and robust systems.

Assemble: 🧩 We bring together disparate parts to create a cohesive whole.

Legacy: 🦅 We build upon the work of our predecessors.

Architect: 🏛️ We design with vision and purpose for the future.

Tool-Up: 🛠️ We empower users with the right tools and knowledge.

Innovate: 💡 We constantly seek better ways to solve problems.

Sustain: 🌱 We build things that are meant to last.

Observe: 👁️ We pay close attention to identify needs and find solutions.