Accident Investigation Forms

Accident Investigation Forms

Accident investigation forms/statements should be filled out by the injured employee, supervisor or any witness to the accident. Train your supervisors to conduct the preliminary investigation and to have these forms completed as soon as possible.

Accident Investigation Form - PDF - English

Accident Investigation Form - PDF - Spanish

IMPORTANT - Care must be taken to assure the investigation is fact-finding, not fault finding. Obtaining signed statements as a soon as possible following an accident insures that you, the employer, have an accurate account of how the injury occurred. These completed statements are important in helping to correct hazards and prevent the accident from recurring. They also help to spot possible third-party liability as well as possible fraudulent claims.