Quickly capture all important information surrounding an accident using powerful accident investigation report templates.
This accident investigation report template is used to determine the root cause of the accident to prevent future accidents. Safety officers and workplace supervisors can use this accident investigation form during accident investigations. With SafetyCulture, you are empowered to:
You can download this sample template and the other investigation report templates as PDF, CSV, Excel, or Word if you prefer. We do encourage you, however, to give the digital templates a try for you to reap the full benefits of using a digital accident investigation report form on the SafetyCulture app.
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An accident investigation report template is a tool used by safety officers and investigators to collect information during an accident investigation. In a workplace setting, supervisors or managers perform accident investigations to help determine the cost of damage, support insurance claim investigations, and improve workplace safety by helping prevent accident reoccurrence.
A good accident investigation report should focus on factual details about the accident. The objective of the report is to inform the readers of accurate information about the accident.
Below are tips you can follow in writing a good accident investigation report:
Clearly detail the incident with facts and evidence. This will help the safety officer be well-informed about what happened and assess what kind of next steps to take.
Some examples of the basic details you must include are the following:
Providing such is a must as this serves as visual proof of the accident. This is crucial for those who will check the report to get a better glimpse of the incident.
To better provide context about the accident, answer the following W-questions:
Finally, supervisors and witnesses must sign off the accident report. This should include their full name, contact information, statement, recommendations, and signatures.
Here’s an accident investigation report sample in PDF. This sample followed the tips on how to write a good accident investigation report and included photos for additional context on the events surrounding an accident.
To guide you better in creating and using an accident investigation report template, here are the basic details and sections you must include:
In addition to the tips and questions outlined above, an accident investigation checklist must ask the following questions:
To conduct an efficient accident investigation, be guided by the following:
A good accident investigation report describes the facts in full detail and includes the date and time that an accident occurred, the order in which things happened, and what caused it. At the end of the report, the inspector in charge of filing it must list their recommendations for future use.
There is no one right way to structure an accident investigation report, as it would depend on your organization’s practices. Ideally, however, an accident investigation report should be done in a narrative format so those reading it can better understand how said accident came to be from start to finish.
The employer should be the one to file and report the accidents that happen to their employees. However, they will need to be in constant contact with their employee for the whole claiming process. Depending on the country, the employee and employer may need to contact their country’s division of workers or compensation government body.
In addition to documenting the specifics of a recent incident, conducting an accident investigation report serves another crucial purpose: preventing the recurrence of similar incidents. By providing comprehensive information, this report enables workplaces to identify the causes of the accident and implement corrective actions to address them effectively.
Paper-based accident investigation reports are time-consuming to complete and take more effort to incorporate photo evidence. Also, in the event that an accident investigation report goes missing, actions that intend to address the safety concerns of employees can get delayed and time-sensitive compensation claims are put at risk.
SafetyCulture is a powerful mobile app that can replace paper-based accident investigation forms. Use SafetyCulture on your mobile device to do the following:
To get you started with your accident investigation, we have built these accident investigation report templates you can browse and download for free.
Use this vehicle accident investigation report template to document information about the employee and vehicle involved in the accident. Include details such as the name of the driver, date of birth, address, employee phone number, and driver’s license number, among others. Most importantly, record details about the accident and any injuries incurred.
Inspection template Powered byUse this incident investigation checklist to help conduct a root cause analysis following an incident or near miss at your workplace. This digital incident investigation form can be used by supervisors to gather facts about the incident and do the following:
Use this vehicle damage report to document a vehicular accident, record the extent of damages, and identify the parties involved. Safety officers, as well as drivers and fleet managers, can use this vehicle damage report to perform the following:
Jona Tarlengco is a content writer and researcher for SafetyCulture since 2018. She usually writes about safety and quality topics, contributing to the creation of well-researched articles. Her years of experience in one of the world’s leading business news organisations helps enrich the quality of the information in her work.
Use this vehicle accident investigation report template to document information about the employee and vehicle involved in the accident. Include details such as the name of the driver, date of birth, address, employee phone number, and driver’s license number, among others. Most importantly, record details about the accident and any injuries incurred.
Use this incident investigation checklist to help conduct a root cause analysis following an incident or near miss at your workplace. This digital incident investigation form can be used by supervisors to gather facts about the incident and do the following: Specify the people involved as well as the investigation team. State what type of task is being performed when the incident happened. Explain the incident in detail. Attach a photo or video evidence for clearer context. Select the contributing factors, including environmental, equipment/materials, work system, and people factors.
Use this vehicle damage report to document a vehicular accident, record the extent of damages, and identify the parties involved. Safety officers, as well as drivers and fleet managers, can use this vehicle damage report to perform the following: Provide general details of the driver (full name, driver’s license number, VIN, etc.). Describe and take photos of vehicular damage. Include witness statements if applicable. Include digital signatures.
