The Critical Incident Report Form is a crucial document required under English and Welsh law for documenting and investigating significant events that may impact safety, operations, or compliance. This form is essential for organizations to maintain accurate records of incidents, comply with regulatory requirements, and implement preventive measures. It should be completed as soon as possible after an incident occurs, typically within 24 hours, and must include detailed information about the event, parties involved, immediate actions taken, and recommended follow-up measures. The form helps organizations meet their obligations under various regulations, including RIDDOR 2013 and the Health and Safety at Work Act 1974.
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1. Incident Details: Date, time, location, and type of incident, including incident reference number
2. Persons Involved: Details of affected individuals, witnesses, and reporting person, including contact information and roles
3. Incident Description: Detailed narrative of what occurred, including sequence of events and immediate impact
4. Immediate Actions Taken: Response measures implemented immediately after incident, including emergency responses and notifications made
5. Risk Assessment: Evaluation of incident severity, potential consequences, and likelihood of recurrence
1. Medical Information: Details of injuries sustained, first aid administered, and any subsequent medical treatment
2. Equipment Involved: Details of any equipment or machinery involved, including maintenance records and safety checks
3. Environmental Impact: Assessment of environmental consequences and any remedial actions required
4. Financial Impact: Assessment of any financial losses or costs associated with the incident
5. Security Implications: Analysis of any security breaches or vulnerabilities exposed by the incident
1. Witness Statements: Formal written statements from all witnesses to the incident
2. Photographic Evidence: Photos, videos, or other visual documentation of the incident scene and any damage
3. Risk Assessment Forms: Completed risk assessment documentation and safety analysis forms
4. Medical Reports: Relevant medical documentation, certificates, and treatment records
5. Investigation Findings: Detailed findings from any internal or external investigations conducted
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