Investigation Report Form (109 KB) - IAPA 2026

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Click ‘Get Form’ to open the Investigation Report Form in our editor.
Begin by filling in the identifying information, including the company or division, department, location of the incident, and date of the incident. Ensure accuracy for effective reporting.
In the injury or illness section, provide details such as the injured person's name, part of body affected, days lost due to injury, and nature of the injury. This information is crucial for understanding the impact of the incident.
Next, address property damage by detailing any objects or equipment that inflicted harm and their associated costs. This helps in assessing overall incident costs.
Complete the evaluation of loss potential if not corrected by selecting severity levels and probability of recurrence. This section aids in risk assessment.
Finally, describe how the event occurred and analyze immediate and basic causes. Document remedial actions taken or suggested to prevent future incidents.

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