IncidentAccidentInvestigationReportGuidelines.doc

Incident/Accident Investigation Report Guidelines ACCIDENT REPORT FORMAT The aim of the incident/accident investigation is to determine causes of the acciden NOT to apportion blame. Establishing causes helps to identify hazards and to indicate methods of control. 1 SYNOPSIS Time, date, location, injured person(s) Accident event Injury sustained Summary of findings 2 CONTRIBUTING FACTORS Material/equipment factors Environmental factors People factors 3 RECOMMENDATIONS Interim corrective measures Action taken to make the site safe and without risks in the short term Long-term corrective measures Long-term actions that need to be undertaken to prevent recurrence of the accident/incident 4 STATEMENT AND APPENDICES If necessary copies of supporting evidence or statements (witnesses, injured party, experts etc) may be attached to the back of the report.HELPFUL TIPS The summary of findings in the synopsis should be a condensed summary of the three contributing factors i.e. material/equipment factors, environmental factors, people factors. Contributing factors are exactly that i.e. FACTS keep them brief and succinct. Do not resort to the obvious conclusion regarding the cause of an accident. Assess all the facts. Record accident details as quickly as possible. The longer the delay in gathering the accident details, the less accurate it is likely to be. Consult with appropriate staff and if possible the injured party on suggested short and long term control measures. The immediate supervisor (eg teacher, registrar, principal or manager) concerned is responsible for initiating an accident investigation and report. This responsibility may be shared with the school or workplace health and safety committee. Further information can be obtained from Accident and Incidents HS – 08, Department of Education Manual. QUESTIONS THAT MAY NEED TO BE ASKED MATERIALS/EQUIPMENT What was the piece of equipment or type of material concerned? Where was the material/equipment used/located/at