Incident Investigation Form Template for United States

1. Environmental Impact: Assessment of environmental effects when incident involves spills, emissions, or other environmental concerns

2. Equipment/Machinery Involvement: Detailed analysis of equipment failure or machinery involvement in the incident

3. Vehicle Incident Details: Specific information for incidents involving vehicles, including vehicle data and driver information

4. Chemical Exposure: Details of chemical involvement, including substance information and exposure assessment

5. Security Breach: Information related to security violations or unauthorized access

6. Cost Analysis: Breakdown of costs associated with the incident, including property damage and business interruption

7. Media/Public Relations: Communication strategy and public relations response for significant incidents

8. Regulatory Reporting: Documentation of notifications made to regulatory bodies and compliance requirements

1. Appendix A - Witness Statements: Standard forms and collected statements from witnesses

2. Appendix B - Photographic Evidence: Photos, videos, or other visual documentation of the incident scene

3. Appendix C - Scene Diagrams: Sketches, floor plans, or diagrams showing incident location and relevant details

4. Appendix D - Risk Assessment Matrix: Tool for evaluating the severity and likelihood of similar incidents

5. Appendix E - Equipment Inspection Records: Relevant maintenance and inspection records for involved equipment

6. Appendix F - Training Records: Documentation of relevant training for involved personnel

7. Appendix G - Investigation Checklist: Standardized checklist ensuring all investigation steps are completed

8. Appendix H - Incident Classification Guide: Reference guide for categorizing incident type and severity