Accident Investigation Checklist

The Accident Investigation Checklist helps you investigate accidents thoroughly by obtaining facts, identifying root causes, recommendations, and more.

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Accident Investigation Checklist

OBTAIN BASIC FACTS

ESTABLISH CIRCUMSTANCES

CARRYING OUT ACTIVITIES

INITIAL RESPONSE TO THE ACCIDENT

IDENTIFY THE UNDERLYING CAUSES

ACTIONS NEEDED TO PREVENT A RECURRENCE

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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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Accident Investigation Checklist

The Accident Investigation Checklist helps you investigate accidents thoroughly by obtaining facts, identifying root causes, recommendations, and more.

1. What are the names of the injured/ill employees/witnesses/people early on the scene?

2. How is the condition of any equipment present?

3. Are there any chemicals/substances in use or present?

4. How is the layout of the area?

5. What was the place, time, and conditions?

6. What was the extent of any injury /ill health/damage/disruption?

7. Were cameras, sketches, and measurements used to record the undisturbed scene?

8. Were statements taken from those who were witnesses? Were the statements signed by witnesses below the declaration “I believe that the facts stated in this witness statement is true”?

9. Were signed statements from those who were present in the area at the time but who did not see anything of note?

1. What was being done at the time and what happened?

2. What were the immediate causes?

3. What events led up to the incident?

4. Is there any evidence linking a case of ill health to work?

5. Competence, e.g. what instructions and training were given before the event and how much experience in the job did the people involved (including supervisors) have? Were they aware of the dangers associated with the activity?

6. What were the established methods of carrying out the task? Were they adequate? Were they being followed?

7. How were the behavior and the actions of individuals?

8. What was the role of the supervisor? Had those involved in the accident been told to carry out the particular task/activity or were they acting on their own initiative?

9. What was the worst that could have happened?

10. Has something similar happened before?

11. Could it happen again?

1. What was being done at the time and what happened?

2. What were the immediate causes?

3. Were any risk assessments and procedures for the activity reviewed?

4. Is there any evidence linking a case of ill health to work?

5. Competence, e.g. what instructions and training were given before the event and how much experience in the job did the people involved (including supervisors) have? Were they aware of the dangers associated with the activity?

6. What were the established methods of carrying out the task? Were they adequate? Were they being followed?

7. How were the behavior and the actions of individuals?

8. What was the role of the supervisor? Had those involved in the accident been told to carry out the particular task/activity or were they acting on their own initiative?

9. What was the worst that could have happened?

10. Has something similar happened before?

11. Could it happen again?

1. Was prompt and appropriate action taken (such as making safe and dealing with any continuing risks, electrical isolation, suitable fire fighting, effective first-aid responseand correct spillage procedures)?

1. Were the underlying causes identified? These might include : Management or supervision failure

2. Were the underlying causes identified? These might include : Lack of competence

3. Were the underlying causes identified? These might include : Inadequate training

4. Were the underlying causes identified? These might include : Shortcomings in the original design of equipment of facilities

5. Were the underlying causes identified? These might include : Absence of a system for maintenance

1. Were physical safeguards improved?

2. Were better test and maintenance arrangements introduced?

3. Were work methods improved?

4. Are personal protective equipment provided and used?

5. Were changes to supervision and training arrangements made?

6. Were similar dangers elsewhere in the School/Support Service reviewed?

7. Were procedures involving outside contractors reviewed?

8. Were inspection systems improved?