Use this incident investigation template to do a root cause analysis for an incident or near-miss at a workplace. This template can be applied to help find important facts and general background information of the event.
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.