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  • Accident Investigation Report

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    Oladimeji Taiwo
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    An accident investigation report was filed for an injured person, providing details of their age, sex, occupation, department, date and time of the reported accident, witness name, cause and nature of injury, actions taken, incapacity period, location, and description of how the accident occurred. The supervisor and safety officer provided their opinions on the cause of the accident and steps being taken to prevent reoccurrence.

    Original Description:

    This document describes the report of investigation after accident has occured in the work place.

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    An accident investigation report was filed for an injured person, providing details of their age, sex, occupation, department, date and time of the reported accident, witness name, cause and nature of injury, actions taken, incapacity period, location, and description of how the accident occurred. The supervisor and safety officer provided their opinions on the cause of the accident and steps being taken to prevent reoccurrence.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    22 views1 page

    Accident Investigation Report

    Uploaded by

    Oladimeji Taiwo
    An accident investigation report was filed for an injured person, providing details of their age, sex, occupation, department, date and time of the reported accident, witness name, cause and nature of injury, actions taken, incapacity period, location, and description of how the accident occurred. The supervisor and safety officer provided their opinions on the cause of the accident and steps being taken to prevent reoccurrence.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    HEALTH, SAFETY & ENVIRONMENT

    ACCIDENT INVESTIGATION REPORT


    Name of Injured person:

    Age Sex:

    Occupation:.... (pls. State is student or casual)


    Department:
    Date / time Accident was reported:...
    Name of Witness (if any) .
    Cause of injury or damage, employee status:

    Nature and extent of injury or damage.


    Action taken after occurrence: ...
    Period of incapacity including day of accidents
    Exact location of accidents:..
    Describe fully how accident occurred: ...

    What in your opinion was the cause of the accident

    What steps are you taking to prevent a re-occurrence

    Date..

    .
    Supervisors Name / Signature

    Date..

    .
    Safety Officers Name / Signature

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