Incident Investigation Report

This article provides a comprehensive overview of the importance of conducting Incident Investigations and the key elements that make up an effective report. Understanding the process of investigating incidents and documenting findings is crucial in preventing future occurrences and ensuring workplace safety. This article serves as a guide for individuals and organizations looking to improve their incident investigation processes and produce effective reports.

• Cover page
  • Accident title and date
  • File index number
  • Name of Company concerned
• List of Contents
• Investigation Process
  • Investigation Team Members and Roles
  • The mandate given to the Investigation Team
  • Description of the investigation process incl. timing and methods used, e.g. investigation methodology, meetings, interviews, re-enactment, etc.

• Brief description of the event, its consequences and the main conclusions of the investigation.

• Facts in chronological order
• Description of sequence of events

• Evaluation of the effectiveness of any emergency response activities

• Description of findings and observations made by the investigation team

• Describe immediate and any long term

• Procedures, instructions, training and organizational issues
• Technical barriers incl. detection and alarms

• Investigation Team Leader’s conclusions incl. descriptions of reasoning and references to Event Trees, Interviews, Observations, Technical findings etc.

• Include details of what, who, when and any verification requirements e.g. audit.
• Distinguish between organizational items (e.g. training), technical items (e.g. modifications) and management systems (e.g. procedures and policies)
• Immediate (remedial action that will temporarily maintain safety integrity)
• Short-term (preventive action that can be executed at short notice)
• Long-term (preventive action involving long lead items or processes)
• Similar Events, if any
•