Title Page

  • Conducted on

  • Prepared by

  • Event or Incident

  • The Event/ incident was?

  • The immediate cause was?

  • To prevent this we could have?

  • The short term action taken/being taken is?

  • Longer term action taken/being taken is?

  • Was the time to site reasonable (Yes/No and state duration)?

  • Was the time to fix reasonable (Yes/No and state duration)?

  • Any further info available?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.