Health and Safety Investigation Report

• Conducted on

  Date

• Prepared by

• Location
  Address

• Incident

  Near Miss

  Accident

• RIDDOR Ref:

SITE ACTIVITY

• What works were RR Groundworks instructed to complete

• undefined

NARRATIVE OF EVENTS

• Who, What, Where and Why

• undefined

PROCEDURES

• What procedures were in place, correct training? following safe system of work etc

• undefined

OUTCOME

• Immediate Cause:

• Underlying Cause:

• Root Cause:

ACTIONS

• Remedial action required to close out / prevent recurrence

• undefined

MEDIA

• All photos attached to this section

• Add media

  Media