Sample Incident Investigation Plan

Decent Essays
1.0 Purpose
The Incident Investigation Plan describes methods for reporting incidents. The plan also provides a means to consistently manage all workplace incidents and comply with 29 CFR Part 1904.

2.0 Definitions
Incident – An event that could or does result in unintended harm or damage; includes personal injuries, near misses, property damage, or other damage.
Injury – Harm or damage to a person.
Near misses – Harm or damage that almost occurred to a person or property. The Safety Manager must:
► Complete an incident investigation form.
► Conduct the incident investigation at the scene of the injury or as soon possible.
► Interview the employee involved in the accident and witnesses. Each interview should be separate. Allow the employee
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5.0 Record keeping
The Safety Manager is responsible for maintaining the following records and documentation:
►OSHA 300 Form: Log of Work-Related Injuries and Illnesses, OSHA 301 Form: Injury and Illness Incident Report, and the OSHA 300-A Form: Summary of Work-Related Injuries and Illnesses, and other forms including equivalent injury and illness recording forms.
►OSHA’s Form 300A is completed by the end of the year, and posted between February 1 to April 30 of the year following the year covered by the form.
►Annual electronic injury and illness reporting to OSHA is required beginning January 2017.

Recordkeeping requests:
►Employees, and their representatives, are provided limited access to our injury and illness records. Copies of relevant Log of Work-Related Injuries and Illnesses (OSHA 300) are provided by the next business day to all employees, former employees, and representatives that request them.
►Employees, former employees, and personal representatives who request the OSHA 301 form will also receive them by the end of the next business day. Authorized employee representatives will receive requested OSHA 301 form within seven calendar days, and all sections of the OSHA 301 form will be removed except the summary section. All initial copies are provided to requestors free of charge. Additional copies involve a reasonable
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□ Inadequate leadership/supervision - unclear/conflicting reporting relations, unclear/conflicting assignment of responsibility, improper delegation, inadequate policy/procedure/practices, conflicting goals/standards, inadequate instructions/training/orientation, inadequate reference documents, lack of management job knowledge, poor match for the job, poor performance measures & evaluations, poor performance feedback system □ Inadequate purchasing - inadequate specifications/requisitions, poor research of materials/equipment, poor specification to vendors, poor mode/route of shipment, poor receiving/inspection/acceptance, poor communication of safety and health data, poor handling of materials, poor storage of materials, inadequate identification of hazardous items, improper salvage/waste

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