Incident investigation report
Work through a workplace incident step by step and finish with a report that stands up with the regulator. It's set up for Australia and New Zealand, but it works anywhere. Select your country and check your own country or state regulator for what they need. Only the basics are required. The guide asks the rest.
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Workplace incident investigation report — final
Untitled incident
Queensland · Organisation not stated · Draft
1. Summary and facts
2. Notification
3. People and statements
None recorded.
4. Timeline
No timeline recorded.
5. Immediate actions and initial sign-off
6. Root cause analysis (5 Why)
7. Actions, recommendations and final sign-off
No actions recorded.
Consultation and sign-off
Appendix — evidence register
No evidence recorded.
Prepared with the free F4PS incident investigation tool. This report is a guide only. It does not replace legal advice or the requirements of Workplace Health and Safety Queensland. Check the regulator's current guidance at https://www.worksafe.qld.gov.au/notify.