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Incident Investigation Form
I need an Incident Investigation Form for our manufacturing facility in Copenhagen that complies with Danish workplace safety regulations and includes specific sections for machinery-related incidents, with capability to handle multiple witness statements and photo evidence.
1. Incident Identification Details: Basic information including date, time, location, and type of incident
2. Involved Parties: Information about all persons involved in the incident, including affected individuals, witnesses, and investigators
3. Initial Incident Description: Immediate factual account of what occurred, before detailed investigation
4. Investigation Process: Documentation of investigation methodology, interviews conducted, and evidence collected
5. Root Cause Analysis: Detailed analysis of direct and underlying causes of the incident
6. Impact Assessment: Evaluation of actual and potential consequences including injuries, property damage, and operational impacts
7. Immediate Actions Taken: Description of emergency response and immediate corrective actions implemented
8. Preventive Measures: Recommended and implemented measures to prevent recurrence
9. Compliance Review: Assessment of compliance with relevant regulations and internal procedures
10. Sign-off and Verification: Signatures of investigators, reviewers, and relevant authorities
1. Environmental Impact: Required when incident involves environmental releases or impacts
2. Equipment/Machinery Analysis: Detailed when incident involves equipment failure or malfunction
3. Third-Party Investigation Findings: Include when external investigators or authorities are involved
4. Cost Analysis: Optional section for calculating direct and indirect costs of the incident
5. Media and Communications Plan: Required for major incidents with potential public interest
6. Insurance and Claims Information: Include when incident may result in insurance claims
7. Training Review: Analysis of training adequacy when human error is a factor
1. Appendix A - Witness Statements: Detailed accounts from witnesses and involved parties
2. Appendix B - Photographic Evidence: Photos, videos, or visual documentation of the incident scene
3. Appendix C - Technical Reports: Detailed technical analyses, test results, or expert reports
4. Appendix D - Risk Assessment: Updated risk assessment following the incident
5. Appendix E - Incident Timeline: Detailed chronological sequence of events
6. Appendix F - Investigation Checklist: Completed investigation procedure checklist
7. Appendix G - Regulatory Reporting Forms: Copies of mandatory reports submitted to authorities
Authors
Accident
Near Miss
Dangerous Occurrence
Root Cause
Contributing Factor
Affected Party
Investigating Officer
Safety Representative
Immediate Action
Corrective Action
Preventive Measure
Risk Assessment
Hazard
Investigation Team
Material Evidence
Witness Statement
Personal Injury
Property Damage
Lost Time Incident
Recordable Incident
Working Environment
Safety System
Emergency Response
Regulatory Authority
Reportable Incident
Control Measure
Critical Safety Equipment
Work Area
Personal Protective Equipment
Safety Protocol
Investigation Report
Risk Level
Compliance Requirement
Documentation
Follow-up Action
Direct Cause
Underlying Cause
System Failure
Environmental Impact
Safe Work Procedure
Witness Information
Safety Compliance
Investigation Process
Root Cause Analysis
Evidence Collection
Confidentiality
Data Protection
Regulatory Reporting
Risk Assessment
Corrective Actions
Documentation Requirements
Authority and Responsibility
Emergency Response
Health and Safety
Environmental Impact
Equipment and Materials
Training and Competency
Quality Assurance
Follow-up Procedures
Manufacturing
Construction
Healthcare
Transportation and Logistics
Energy and Utilities
Mining and Resources
Agriculture
Retail
Hospitality
Education
Information Technology
Chemical Processing
Pharmaceutical
Food Processing
Warehousing
Maritime
Aviation
Public Services
Health and Safety
Operations
Human Resources
Quality Assurance
Risk Management
Compliance
Emergency Response
Environmental Health
Facilities Management
Production
Security
Legal
Occupational Health
Health and Safety Manager
Risk Management Officer
Facility Manager
Operations Manager
Human Resources Director
Quality Assurance Manager
Production Supervisor
Site Safety Coordinator
Environmental Health and Safety Specialist
Compliance Officer
Department Manager
Safety Engineer
Occupational Health Nurse
Plant Manager
Project Manager
Safety Consultant
Line Supervisor
Emergency Response Coordinator
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