Incident Investigation Form Template for Germany

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Key Requirements PROMPT example:

Incident Investigation Form

"I need an Incident Investigation Form for our chemical manufacturing plant in Bavaria that complies with German SEVESO III regulations and includes detailed sections for hazardous material exposure documentation, with specific focus on environmental impact assessment and mandatory authority notifications."

Document background
The Incident Investigation Form is a crucial document used in German workplaces to systematically investigate and document workplace incidents, accidents, and near-misses. It is designed to meet the requirements of the German Occupational Safety and Health Act (Arbeitsschutzgesetz) and related regulations, including DGUV requirements and data protection laws. This form must be completed whenever a workplace incident occurs, serving multiple purposes: documenting the incident details, analyzing root causes, planning corrective actions, fulfilling legal reporting obligations, and supporting insurance claims. It includes sections for immediate response documentation, witness statements, analysis of causes, and corrective action planning, all while ensuring compliance with German documentation standards and privacy regulations.
Suggested Sections

1. Incident Identification Details: Basic information including date, time, location, and reference number of the incident

2. Affected Person(s) Information: Details of individuals involved, including their role and employment status (compliant with GDPR requirements)

3. Incident Description: Detailed account of what happened, including sequence of events

4. Immediate Actions Taken: Emergency responses and immediate measures implemented after the incident

5. Witness Statements: Accounts from witnesses, documented with date and time

6. Investigation Findings: Analysis of causes, including immediate and root causes

7. Regulatory Requirements: Identification of relevant regulations and compliance status

8. Corrective Actions: Measures to be implemented to prevent recurrence

9. Sign-off Section: Approval signatures from investigator, safety officer, and management

Optional Sections

1. Environmental Impact Assessment: Required when incident involves environmental aspects or hazardous materials

2. Equipment/Machinery Analysis: Detailed when incident involves technical equipment or machinery failure

3. Medical Report Summary: Include when there are injuries requiring medical attention (with appropriate privacy protections)

4. Works Council Statement: Required when works council involvement is necessary under BetrVG

5. Cost Impact Analysis: Optional section for calculating direct and indirect costs of the incident

6. Training Implications: Required when incident reveals training deficiencies

Suggested Schedules

1. Photographic Evidence: Photos, diagrams, or sketches of the incident scene and relevant details

2. Risk Assessment Update: Updated risk assessment for the affected work area or process

3. Investigation Timeline: Detailed chronological reconstruction of events

4. Technical Reports: Any relevant technical analysis or expert reports

5. Action Plan Schedule: Detailed timeline for implementing corrective actions

6. Incident Notification Forms: Copies of mandatory reports submitted to authorities (Berufsgenossenschaft, labor inspectorate, etc.)

7. Related Documents: Relevant procedures, work instructions, or previous risk assessments

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions
Relevant Industries

Manufacturing

Construction

Healthcare

Logistics and Transportation

Chemical Industry

Mining

Energy

Automotive

Aerospace

Food Processing

Pharmaceuticals

Agriculture

Retail

Hospitality

Education

Research and Development

Relevant Teams

Health and Safety

Operations

Human Resources

Legal

Compliance

Quality Assurance

Risk Management

Facility Management

Production

Maintenance

Environmental Health and Safety

Medical Services

Security

Works Council

Relevant Roles

Health and Safety Manager

Operations Manager

Plant Manager

Facility Manager

Production Supervisor

Safety Officer

Risk Manager

Compliance Officer

Human Resources Director

Quality Assurance Manager

Department Head

Site Manager

Environmental Health and Safety Coordinator

Occupational Safety Specialist

Works Council Member

Company Doctor

Line Supervisor

Shift Leader

Project Manager

Maintenance Manager

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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