INCIDENT INVESTIGATION CHECKLIST
INCIDENT INVESTIGATION CHECKLIST
INCIDENT INVESTIGATION CHECKLIST
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<strong>INCIDENT</strong> <strong>INVESTIGATION</strong> <strong>CHECKLIST</strong><br />
COLLECTING THE EVIDENCE<br />
Observations Tick if Tick when<br />
relevant complete<br />
Premises and place of work<br />
Access and egress<br />
Plant and substances in use<br />
Location and relationship of physical parts<br />
Any post-events, tests, checks, sampling or<br />
reconstruction<br />
Clinical evidence about injured person<br />
Sketches, photographs and measurements<br />
Documents<br />
Written instructions<br />
Safe operating procedures<br />
Risk assessments<br />
Policies<br />
Records of any earlier inspections by the<br />
department<br />
Tests<br />
Examinations<br />
Surveys<br />
Interviews<br />
Those involved in the incident<br />
Any witnesses<br />
Their line managers<br />
Those observing or involved before the event<br />
eg inspectors, maintenance staff or other<br />
CR/cao/AI Checklist/8 April 2004
<strong>INCIDENT</strong> <strong>INVESTIGATION</strong> <strong>CHECKLIST</strong><br />
<strong>INCIDENT</strong> ANALYSIS<br />
Immediate Causes Tick if Tick when<br />
relevant complete<br />
Premises<br />
Plant and substance<br />
Procedures<br />
People<br />
Underlying Causes<br />
Planning<br />
Risk assessment<br />
Organisation: control<br />
Organisation: co-operation<br />
Organisation: communication<br />
Organisation: competence<br />
Monitoring<br />
Reviewing<br />
Incident Report - Headings<br />
Summary<br />
Discussion<br />
Conclusions<br />
Recommendations<br />
Distribution<br />
CR/cao/AI Checklist/8 April 2004
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