- Owner
- Safety Officer
- Effective date
- September 15, 2026
- Review cycle
- Every 12 months
1.Purpose
To make sure every workplace injury and near miss is reported promptly, investigated for root cause, and followed up with corrective action to prevent recurrence.
2.Scope
Applies to all employees, contractors and visitors, covering injuries, illnesses, near misses and property damage events occurring on company premises or during work activities.
Definitions
- Near miss
- An event that could have caused injury, illness or damage but did not, often due to timing or luck rather than a control working as intended.
- Root cause
- The underlying reason an incident occurred, as opposed to the immediate or surface-level cause.
- Corrective action
- A change made to eliminate or reduce the root cause of an incident so it does not happen again.
3.Responsibilities
- Employee
- Reports any incident or near miss immediately, cooperates with the investigation and follows interim controls put in place.
- Supervisor
- Secures the scene, completes the initial report and supports the investigation for incidents in their area.
- Safety Officer
- Investigates root cause for serious incidents, tracks corrective actions and maintains the incident register.
- Department Manager
- Reviews incident trends for their department and approves resources for corrective actions.
RACI matrix
| Activity | Employee | Supervisor | Safety Officer | Department Manager |
|---|---|---|---|---|
| Report the incident immediately | R/A | C | I | I |
| Secure the scene and preserve evidence | R | R/A | C | I |
| Investigate root cause | C | R | R/A | I |
| Assign and implement corrective actions | I | R | A | C |
| Report to a regulatory authority if required | I | I | R/A | C |
R = Responsible, A = Accountable, C = Consulted, I = Informed
4.Materials and PPE
Materials, tools and systems
- โIncident report form
- โIncident register
- โCamera or phone for scene photos
- โRoot cause investigation template
- โCorrective action tracking log
5.Procedure
- 5.1
Ensure immediate safety
EmployeeGet first aid or emergency medical help for anyone injured, and remove people from further danger before doing anything else.
Warning: Never delay calling for medical help in order to document the scene first.
- 5.2
Secure the area if a hazard remains
SupervisorIf a hazard that caused the incident is still present, cordon off the area or shut down the equipment involved so no one else is exposed.
- 5.3
Notify the supervisor immediately
EmployeeReport the incident or near miss to your supervisor as soon as it is safe to do so, describing what happened and who was involved.
Checkpoint: The supervisor is notified the same day the incident or near miss occurs.
- 5.4
Preserve the scene
SupervisorLeave the scene undisturbed where possible and take photos of the area, equipment and any damage before cleanup begins.
- 5.5
Complete the incident report form
SupervisorFill out the incident report form with the facts: date, time, location, people involved, description of what happened and any immediate actions taken.
- 5.6
Review the initial report
Safety OfficerReview the completed report for completeness and decide whether the severity warrants a full root cause investigation.
- 5.7
Investigate the root cause
Safety OfficerFor incidents meeting the investigation threshold, interview witnesses, review conditions and equipment, and identify the underlying root cause rather than stopping at the immediate cause.
Checkpoint: The investigation identifies a root cause, not just the immediate action that triggered the incident.
- 5.8
Identify corrective actions
Safety OfficerBased on the root cause, identify corrective actions using the hierarchy of controls, favoring elimination or engineering changes over relying on behavior alone.
- 5.9
Assign and implement actions
Department ManagerAssign each corrective action an owner and due date, and track implementation until every action is verified complete.
- 5.10
Report to a regulatory authority if required
Safety OfficerDetermine whether the incident meets the criteria for reporting to a regulatory authority, and submit the report within the timeframe required by local regulations.
- 5.11
Communicate lessons learned
SupervisorShare relevant findings and new controls with the affected team so similar tasks elsewhere benefit from the lessons learned.
- 5.12
Log and review at the safety meeting
Safety OfficerLog the incident in the incident register and review incident trends, including near misses, at the regular safety meeting.
6.Quality checks
- โEvery reported incident has a completed report on file within 24 hours.
- โSerious incidents show a documented root cause, not just an immediate cause.
- โCorrective actions are tracked with an owner and due date until verified closed.
- โNear misses are logged with the same rigor as incidents that caused injury.
7.Records
- โIncident report forms
- โIncident register
- โRoot cause investigation reports
- โCorrective action tracking log
8.KPIs
- โNumber of incidents and near misses reported per month
- โPercentage of corrective actions closed by their due date
- โAverage time from incident to completed investigation
9.Common mistakes
- โOnly reporting incidents that caused an injury and skipping near misses.
- โStopping the investigation at the immediate cause instead of the root cause.
- โAssigning a corrective action with no owner or due date.
- โCleaning up the scene before it has been documented and photographed.
10.Revision history
| Revision | Date | Description | Reviewed by |
|---|---|---|---|
| 1.0 | September 15, 2026 | Initial release | Ilia Pirozhenko |
This is a template. Adapt it to your organization, equipment and local regulations before use.