Inspection

Investigation Report
Background Information of the Subject

Full Name

Contact Number

Email Address

Type of Case

Identify the type of case.

Complaint Summary

Violation Summary

Incident Summary

Accident Summary

Evidence
Select and take/ attach photos of physical evidence.

Specify the evidence.

Take/ attach photos of the evidence.

Detail all conducted interviews by tapping ADD INTERVIEW.

INTERVIEW

Full Name

Conducted on
Interview Location

Content of Interview

Conclusion

What is the conclusion of the investigation?

Full Name and Signature of Investigator
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.