Incident Investigation Form Template for England and Wales

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Key Requirements PROMPT example:

Incident Investigation Form

"I need an Incident Investigation Form to document a machinery malfunction that occurred in our manufacturing facility on January 15, 2025, which resulted in minor injuries to two employees and requires RIDDOR reporting."

Document background
The Incident Investigation Form is a critical document used to fulfill legal obligations under English and Welsh workplace safety regulations. It serves as a systematic tool for recording and investigating workplace incidents, accidents, and near-misses. The form supports compliance with RIDDOR 2013 and other relevant legislation, while providing a structured approach to identifying root causes and implementing preventive measures. This document is essential for maintaining accurate records, demonstrating due diligence, and supporting continuous improvement in workplace safety.
Suggested Sections

1. Incident Details: Date, time, location, type of incident

2. Persons Involved: Details of injured parties, witnesses, investigators

3. Incident Description: Detailed account of what happened

4. Initial Response: Immediate actions taken following incident

5. Evidence Collected: List of physical evidence, photographs, statements

6. Root Cause Analysis: Investigation findings and cause determination

7. Corrective Actions: Measures to prevent recurrence

Optional Sections

1. RIDDOR Reporting: Additional section required when incident meets RIDDOR reporting criteria

2. Environmental Impact: Assessment of environmental consequences when incident involves environmental factors

3. Cost Analysis: Financial impact assessment when significant property damage or business interruption occurs

Suggested Schedules

1. Witness Statements: Detailed accounts from witnesses

2. Photographic Evidence: Photos of incident scene and relevant items

3. Risk Assessments: Relevant pre-incident risk assessments

4. Equipment Records: Maintenance records, certificates, inspections

5. Training Records: Relevant training documentation for involved parties

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

Clauses
Relevant Industries
Relevant Teams
Relevant Roles
Industries

Health and Safety at Work etc. Act 1974 (HSWA): Primary legislation governing workplace safety that establishes general duties for employers, employees, and other parties involved in workplace activities

Management of Health and Safety at Work Regulations 1999: Mandates risk assessments and incident investigations, while establishing management obligations for implementing and maintaining safety systems

Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR): Defines which incidents must be reported to the Health and Safety Executive (HSE), including specific reporting timeframes and procedures

General Data Protection Regulation (GDPR) and Data Protection Act 2018: Legislation governing the collection and processing of personal data, affecting how personal information is recorded and stored during incident investigations

Social Security (Claims and Payments) Regulations 1979: Requires maintenance of accident book records and specifies the essential information that must be recorded for workplace incidents

Corporate Manslaughter and Corporate Homicide Act 2007: Legislation particularly relevant for serious incidents resulting in fatalities, affecting the scope and documentation requirements of investigations

Evidence Act 1995: Governs how evidence must be collected and documented, particularly important for potential legal proceedings following an incident

Equality Act 2010: Must be considered in incident investigations where discrimination might be a contributing factor or concern

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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