Incident Investigation Form

Incident Investigation Form Template for Canada

Create a bespoke document in minutes, or upload and review your own.

4.6 / 5

4.8 / 5

Let's create your Incident Investigation Form

1. Select your governing law and document type:

2. Enter your key requirements:

3. Create your document to edit, review or download

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

"I need an Incident Investigation Form for a large manufacturing facility that complies with Ontario regulations and includes detailed sections for machinery-related incidents, with specific focus on root cause analysis and corrective action tracking."

Document background

The Incident Investigation Form is a crucial document required under Canadian occupational health and safety legislation for documenting and investigating workplace incidents, accidents, and near-misses. This form must be completed whenever a reportable incident occurs in the workplace, as defined by federal and provincial regulations. It captures essential information about the incident, including circumstances, root causes, witness statements, and corrective actions. The document helps organizations maintain compliance with the Canada Labour Code and provincial OHS requirements while providing a systematic approach to preventing future incidents. The form serves multiple purposes: legal documentation, risk management tool, and continuous improvement mechanism.

Suggested Sections

1. Incident Identification: Basic information including date, time, location, and type of incident

2. Incident Description: Detailed narrative of what occurred, including sequence of events

3. Affected Parties: Information about individuals involved, injured, or affected by the incident

4. Immediate Actions Taken: Description of emergency response and immediate measures taken after the incident

5. Investigation Details: Investigation methodology, evidence collected, interviews conducted

6. Root Cause Analysis: Identification and analysis of direct and underlying causes

7. Contributing Factors: Environmental, human, organizational, and equipment factors that contributed to the incident

8. Corrective Actions: Recommended and implemented measures to prevent recurrence

9. Investigation Team: Names and roles of individuals conducting the investigation

10. Sign-off Section: Approval signatures from relevant authorities and investigation team members

Optional Sections

1. Environmental Impact Assessment: For incidents involving environmental releases or impacts

2. Equipment/Property Damage Assessment: Detailed evaluation of damage to equipment or property when applicable

3. Regulatory Reporting Requirements: Documentation of notifications to relevant authorities when required

4. Cost Analysis: Assessment of financial impact when relevant to investigation scope

5. Worker's Compensation Details: For incidents involving worker injury requiring WCB reporting

6. Union Representative Statement: For unionized workplaces where union involvement is required

7. Third-Party Involvement: When contractors, visitors, or public are involved in the incident

Suggested Schedules

1. Witness Statements: Collected testimonies and interviews from witnesses

2. Photo Documentation: Photographs, diagrams, or sketches of the incident scene

3. Risk Assessment Matrix: Tool for evaluating the risk level of similar future incidents

4. Investigation Timeline: Detailed chronological breakdown of events

5. Equipment Inspection Reports: Technical reports related to equipment involved in the incident

6. Training Records: Relevant training documentation for involved parties

7. Incident Scene Diagram: Detailed layout and marking of the incident location

8. Follow-up Action Log: Tracking sheet for implementing corrective actions

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok��˰� | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Manufacturing

Construction

Healthcare

Mining

Transportation

Oil and Gas

Retail

Warehousing and Logistics

Food Processing

Education

Public Services

Utilities

Agriculture

Forestry

Chemical Processing

Pharmaceutical

Relevant Teams

Health and Safety

Operations

Human Resources

Risk Management

Quality Assurance

Maintenance

Production

Compliance

Environmental

Training

Security

Emergency Response

Relevant Roles

Health and Safety Manager

Safety Coordinator

Operations Manager

Site Supervisor

Human Resources Manager

Risk Management Officer

Department Manager

Shift Supervisor

Quality Assurance Manager

Maintenance Supervisor

Environmental Coordinator

Compliance Officer

Production Manager

Facility Manager

Safety Inspector

Training Coordinator

Find the exact document you need

Security Guard Report Form

A standardized Canadian security incident reporting document used to record security-related events, observations, and actions taken by security personnel, compliant with provincial and federal regulations.

find out more

Patient Safety Incident Reporting Form

A standardized Canadian Patient Safety Incident Reporting Form for documenting and reporting healthcare safety incidents in compliance with federal and provincial regulations.

find out more

Incident Notification Form

A Canadian-compliant Incident Notification Form for documenting and reporting various types of incidents, aligned with federal and provincial requirements.

find out more

Health And Safety Incident Report Form

A standardized Canadian workplace incident reporting form that complies with federal and provincial health and safety regulations for documenting workplace accidents, injuries, and safety events.

find out more

Hazard Report Form

A Canadian-compliant workplace hazard reporting document for systematically recording and addressing safety concerns in accordance with federal and provincial regulations.

find out more

Hazard Incident Report Form

A standardized Canadian workplace incident reporting form for documenting hazards, accidents, and near-misses in compliance with federal and provincial safety regulations.

find out more

Work Place Injury Report Form

Canadian-compliant workplace injury report form for documenting work-related incidents and injuries, meeting federal and provincial safety regulations.

find out more

Employee Incident Report Form

A standardized Canadian workplace incident reporting form for documenting occupational accidents, injuries, and near-misses in compliance with federal and provincial regulations.

find out more

Critical Incident Report Form

A standardized Canadian workplace incident documentation form that complies with federal and provincial safety regulations for recording and reporting significant workplace events.

find out more

Security Incident Report Form

A Canadian-compliant Security Incident Report Form for documenting and managing security incidents while meeting federal and provincial regulatory requirements.

find out more

Incident Response Form

A Canadian-compliant form for documenting and managing security incidents, ensuring alignment with PIPEDA and provincial privacy requirements.

find out more

Incident Investigation Form

A standardized Canadian workplace incident investigation and documentation form compliant with federal and provincial health and safety regulations.

find out more

Download our whitepaper on the future of AI in Legal

By providing your email address you are consenting to our Privacy Notice.

Thank you for downloading our whitepaper. This should arrive in your inbox shortly. In the meantime, why not jump straight to a section that interests you here: /our-research

Oops! Something went wrong while submitting the form.

�ұ�Ծ��’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; �ұ�Ծ��’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

Our bank-grade security infrastructure undergoes regular external audits

We are ISO27001 certified, so your data is secure

Organizational security

You retain IP ownership of your documents

You have full control over your data and who gets to see it

Innovation in privacy:

Genie partnered with the Computational Privacy Department at Imperial College London

Together, we ran a £1 million research project on privacy and anonymity in legal contracts

Want to know more?

Visit our for more details and real-time security updates.

Read our Privacy Policy.

tiktok���˰�

How a Sales & Marketing Lead uses tiktok���˰� to reduce contract drafting time by 95%

Let's create your Incident Investigation Form

Authors

Alex Denne

Find the exact document you need

Security Guard Report Form

Patient Safety Incident Reporting Form

Incident Notification Form

Health And Safety Incident Report Form

Hazard Report Form

Hazard Incident Report Form

Work Place Injury Report Form

Employee Incident Report Form

Critical Incident Report Form

Security Incident Report Form

Incident Response Form

Incident Investigation Form

Download our whitepaper on the future of AI in Legal

�ұ�Ծ���’s Security Promise

Your documents are private:

Your documents are protected:

Organizational security

Innovation in privacy:

Want to know more?

Use Cases

tiktok��˰�

How a Sales & Marketing Lead uses tiktok��˰� to reduce contract drafting time by 95%

�ұ�Ծ��’s Security Promise