The Incident Investigation Form is a crucial document used in Pakistani workplaces to document, analyze, and respond to workplace incidents, accidents, and near-misses. This form is designed to comply with Pakistani labor laws, including the Factories Act 1934, Industrial Relations Act 2012, and provincial safety regulations. It is used whenever an incident occurs that affects workplace safety, employee health, or company operations. The form captures essential information including incident details, witness accounts, root cause analysis, and corrective actions. It serves multiple purposes: meeting legal reporting requirements, improving workplace safety through incident analysis, supporting insurance claims, and documenting organizational response to incidents. The document is structured to support both immediate incident response and long-term safety improvements while maintaining compliance with local regulatory frameworks.
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1. Incident Overview: Basic information including date, time, location, and type of incident
2. Affected Persons: Details of all persons involved in or affected by the incident, including injuries sustained
3. Incident Description: Detailed narrative of the incident, including sequence of events
4. Immediate Actions Taken: Emergency response measures and immediate actions taken following the incident
5. Witness Statements: Accounts from witnesses and persons involved in the incident
6. Root Cause Analysis: Investigation findings identifying primary and contributing causes
7. Corrective Actions: Recommended and implemented measures to prevent recurrence
8. Investigation Team: Details of personnel conducting the investigation
9. Sign-off: Approval signatures from relevant authorities and investigation team members
1. Environmental Impact Assessment: Required when incident involves environmental hazards or contamination
2. Equipment/Machinery Analysis: Detailed when incident involves equipment failure or malfunction
3. Medical Report Summary: Required for incidents resulting in serious injury or health impacts
4. Cost Impact Analysis: Assessment of financial implications when significant property damage or business interruption occurs
5. Regulatory Compliance Review: Analysis of relevant regulations and compliance status when regulatory violations are suspected
6. Third-Party Involvement: Details of contractors, vendors, or external parties when involved in the incident
1. Appendix A - Photographic Evidence: Photographs, diagrams, or sketches of the incident scene and relevant evidence
2. Appendix B - Medical Reports: Copies of medical assessments and treatment records
3. Appendix C - Equipment Reports: Technical reports, maintenance records, or equipment certification documents
4. Appendix D - Training Records: Relevant training and certification records of involved personnel
5. Appendix E - Risk Assessment: Pre-incident risk assessments and safety procedures
6. Appendix F - Incident Location Map: Detailed layout or map showing incident location and relevant surroundings
7. Appendix G - Investigation Methodology: Description of investigation methods, tools, and techniques used
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