The Incident Investigation Form is a crucial document used when investigating workplace accidents, incidents, or near-misses in Hong Kong organizations. It is designed to comply with local regulatory requirements, particularly the Occupational Safety and Health Ordinance (Cap. 509) and the Employees' Compensation Ordinance (Cap. 282). The form must be completed whenever an incident occurs that results in, or could have resulted in, injury, illness, damage to property, or other significant consequences. It captures detailed information about the incident, including circumstances, root causes, witness statements, and corrective actions. This documentation is essential for legal compliance, insurance purposes, and implementing preventive measures to avoid future incidents. The form also serves as evidence of the organization's due diligence in maintaining workplace safety and can be crucial in dealings with Hong Kong's Labour Department and other regulatory bodies.
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1. Incident Overview: Basic information including date, time, location, and type of incident
2. Involved Parties: Details of all persons involved including victims, witnesses, and investigators
3. Incident Description: Detailed narrative of the incident including sequence of events
4. Initial Response: Actions taken immediately after the incident including emergency response
5. Investigation Details: Methods used, evidence collected, and interviews conducted
6. Root Cause Analysis: Identification and analysis of direct and underlying causes
7. Immediate Corrective Actions: Actions taken to address immediate safety concerns
8. Preventive Measures: Long-term recommendations to prevent recurrence
9. Investigation Team: Names and roles of personnel conducting the investigation
10. Sign-off: Approval signatures from relevant authorities and investigation team
1. Environmental Conditions: Details of environmental factors if relevant to the incident (weather, lighting, etc.)
2. Equipment Analysis: Detailed examination of equipment involved in incidents with machinery
3. Cost Impact Assessment: Analysis of financial implications for serious incidents
4. Medical Report Summary: Summary of injuries and medical treatment for incidents involving injuries
5. Regulatory Reporting: Section for documenting compliance with reporting requirements for reportable incidents
6. Union Representative Statement: Input from union representatives where workplace unions are involved
7. Risk Assessment Review: Review of existing risk assessments related to the incident activity
1. Appendix A - Witness Statements: Detailed statements from all witnesses
2. Appendix B - Photographic Evidence: Photos, diagrams, or sketches of the incident scene
3. Appendix C - Technical Reports: Any relevant technical analysis or expert reports
4. Appendix D - Training Records: Relevant training and certification records of involved parties
5. Appendix E - Maintenance Records: Equipment maintenance records if applicable
6. Appendix F - Risk Assessment Documents: Copies of relevant risk assessments and safe work procedures
7. Appendix G - Incident Scene Log: Chronological log of scene preservation and investigation activities
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