Incident Investigation & Root Cause Checklist [FREE PDF]
Safety investigators use this checklist per OSHA 29 CFR 1904 recordkeeping requirements and ANSI/ASSP Z10 incident investigation best practices for workplace incident root cause analysis.
- Industry: General / All Industries
- Frequency: Per Incident
- Estimated Time: 20-25 minutes
- Role: Safety Investigator
- Total Items: 8
- Compliance: OSHA 29 CFR 1904, ANSI/ASSP Z10
Scene Documentation & Interviews
Secure and document the incident scene.
- Has the incident scene been secured and preserved for investigation?
- Are photographs and measurements of the scene documented?
- Have witnesses been identified and interviewed separately within 24 hours?
- Scene documentation notes
Root Cause & Corrective Actions
Determine root cause and implement corrective actions.
- Has the root cause (not just immediate cause) been determined using systematic analysis?
- Are corrective actions identified addressing root cause using hierarchy of controls?
- Has the incident been evaluated for OSHA recordability and reported if required?
- Root cause notes
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Why Use This Incident Investigation & Root Cause Checklist [FREE PDF]?
This incident investigation & root cause checklist [free pdf] helps general / all industries teams maintain compliance and operational excellence. Designed for safety investigator professionals, this checklist covers 8 critical inspection points across 2 sections. Recommended frequency: per incident.
Ensures compliance with OSHA 29 CFR 1904, ANSI/ASSP Z10. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Incident Investigation & Root Cause Checklist [FREE PDF] cover?
This checklist covers 8 inspection items across 2 sections: Scene Documentation & Interviews, Root Cause & Corrective Actions. It is designed for general / all industries operations and compliance.
How often should this checklist be completed?
This checklist should be completed per incident. Each completion takes approximately 20-25 minutes.
Who should use this Incident Investigation & Root Cause Checklist [FREE PDF]?
This checklist is designed for Safety Investigator professionals in the general / all industries industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.