The Incident Investigation Form is a crucial document required under Austrian workplace safety regulations, particularly the ArbeitnehmerInnenschutzgesetz (ASchG). It should be used whenever a workplace incident occurs, ranging from near-misses to serious accidents. The form captures detailed information about the incident, including circumstances, involved parties, witness accounts, and immediate actions taken, while ensuring compliance with GDPR requirements for personal data handling. It serves multiple purposes: fulfilling legal documentation requirements, supporting insurance claims, identifying safety improvements, and preventing future incidents. The document is structured to guide investigators through a thorough analysis process while ensuring all relevant authorities and stakeholders are properly notified as required by Austrian law.
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1. 1. Incident Identification: Basic information including date, time, location, and type of incident
2. 2. Affected Persons: Details of all persons involved in or affected by the incident, including witnesses (with GDPR compliance notice)
3. 3. Incident Description: Detailed narrative of what occurred, including sequence of events and immediate actions taken
4. 4. Impact Assessment: Evaluation of harm or damage caused, including injuries, property damage, and operational disruption
5. 5. Root Cause Analysis: Investigation of underlying causes, contributing factors, and circumstances leading to the incident
6. 6. Regulatory Compliance: Documentation of relevant safety regulations and whether any violations occurred
7. 7. Immediate Actions Taken: Description of emergency response and immediate measures implemented
8. 8. Corrective Actions: Detailed plan of preventive and corrective measures to be implemented
9. 9. Reporting Requirements: Documentation of notifications made to relevant authorities and insurance providers
10. 10. Sign-off and Verification: Signatures of investigating officer, witnesses, and relevant management personnel
1. Environmental Impact Assessment: Required when incident involves environmental damage or hazardous materials
2. Equipment Failure Analysis: Needed when incident involves machinery or equipment malfunction
3. Third Party Involvement: Required when external contractors or visitors are involved in the incident
4. Production Impact Statement: Used when incident affects production processes or delivery schedules
5. Cost Analysis: Optional section for detailed breakdown of incident-related costs and damages
6. Media and Communications: Required for incidents that may attract public or media attention
1. Schedule A: Witness Statements: Collected statements from witnesses and involved parties
2. Schedule B: Photographic Evidence: Photos and visual documentation of the incident scene, damage, or injuries
3. Schedule C: Technical Reports: Any relevant technical assessments or expert evaluations
4. Schedule D: Medical Reports: Medical documentation if injuries occurred (with appropriate privacy protections)
5. Schedule E: Risk Assessment: Updated risk assessment for the affected area or process
6. Appendix 1: Incident Scene Diagram: Sketches or diagrams showing the incident location and relevant details
7. Appendix 2: Relevant Documentation: Copies of relevant procedures, permits, or certifications
8. Appendix 3: Training Records: Documentation of relevant training or certifications of involved personnel
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