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Incident Investigation Form
"I need an Incident Investigation Form for our manufacturing facility that complies with Austrian workplace safety regulations, with extra emphasis on machinery-related incidents and multiple language support (German and English) for our diverse workforce."
1. 1. Incident Identification: Basic information including date, time, location, and type of incident
2. 2. Affected Persons: Details of all persons involved in or affected by the incident, including witnesses (with GDPR compliance notice)
3. 3. Incident Description: Detailed narrative of what occurred, including sequence of events and immediate actions taken
4. 4. Impact Assessment: Evaluation of harm or damage caused, including injuries, property damage, and operational disruption
5. 5. Root Cause Analysis: Investigation of underlying causes, contributing factors, and circumstances leading to the incident
6. 6. Regulatory Compliance: Documentation of relevant safety regulations and whether any violations occurred
7. 7. Immediate Actions Taken: Description of emergency response and immediate measures implemented
8. 8. Corrective Actions: Detailed plan of preventive and corrective measures to be implemented
9. 9. Reporting Requirements: Documentation of notifications made to relevant authorities and insurance providers
10. 10. Sign-off and Verification: Signatures of investigating officer, witnesses, and relevant management personnel
1. Environmental Impact Assessment: Required when incident involves environmental damage or hazardous materials
2. Equipment Failure Analysis: Needed when incident involves machinery or equipment malfunction
3. Third Party Involvement: Required when external contractors or visitors are involved in the incident
4. Production Impact Statement: Used when incident affects production processes or delivery schedules
5. Cost Analysis: Optional section for detailed breakdown of incident-related costs and damages
6. Media and Communications: Required for incidents that may attract public or media attention
1. Schedule A: Witness Statements: Collected statements from witnesses and involved parties
2. Schedule B: Photographic Evidence: Photos and visual documentation of the incident scene, damage, or injuries
3. Schedule C: Technical Reports: Any relevant technical assessments or expert evaluations
4. Schedule D: Medical Reports: Medical documentation if injuries occurred (with appropriate privacy protections)
5. Schedule E: Risk Assessment: Updated risk assessment for the affected area or process
6. Appendix 1: Incident Scene Diagram: Sketches or diagrams showing the incident location and relevant details
7. Appendix 2: Relevant Documentation: Copies of relevant procedures, permits, or certifications
8. Appendix 3: Training Records: Documentation of relevant training or certifications of involved personnel
Authors
Manufacturing
Construction
Healthcare
Transportation and Logistics
Mining and Resources
Chemical Industry
Agriculture
Retail
Hospitality
Education
Utilities
Warehouse and Storage
Food Processing
Pharmaceutical
Automotive
Energy
Telecommunications
Research and Laboratory
Health and Safety
Operations
Human Resources
Risk Management
Quality Assurance
Compliance
Production
Maintenance
Security
Environmental
Facility Management
Emergency Response
Legal
Management
Health and Safety Manager
Facility Manager
Operations Director
Human Resources Manager
Risk Management Officer
Department Supervisor
Safety Coordinator
Quality Assurance Manager
Environmental Health Officer
Compliance Officer
Production Manager
Site Manager
Security Manager
Maintenance Supervisor
Project Manager
Plant Manager
Laboratory Manager
Warehouse Manager
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