HTML Preview Health Safety Incident Investigation Report page number 2.


Investigation Analysis
What were the events that contributed to the incident?
(You may find it helpful to construct a timeline of the events leading up to the incident)
This template works in conjunction with the MyHR WH&S on-line reporting system. Witness details are
recorded on-line. All other information (e.g. witness statements, photographs, diagrams, registers, etc)
should be uploaded as a File Attachment to the MyHR WH&S on-line reporting system.
This report template is designed to capture your analysis and outcome findings of your investigation.
What were the identified or possible cause/s of the incident?
(You may find it helpful to ask why an event occurred on the event timeline to establish possible causes)
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