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Free Incident Template

Incident Investigation Form

OSHA's model investigation form, sections A to E, with a timeline, witnesses, the chain of whys, corrective actions with owners and dates, and the reporting clocks that may apply. Free PDF and Word, blank or filled in. No signup.

Verified vs OSHA sources · Oct 20, 2026

OSHA model form, Appendix A Back to Tools

Free tool. No signup, no account. Want investigations reviewed by a second person, then signed and locked? HazComFast (the app) is our paid product.

PDF to print

Incident Investigation Report, ready to print on Letter paper. The example shows it filled in.

Word to edit

The same form as a .docx file: add your logo, your items and your own rows.

OSHA prescribes an incident investigation report only in a few standards, such as process safety management, which asks for an investigation started no later than 48 hours after the incident and a report with set contents (29 CFR 1910.119(m)(2), (m)(4)). For everyone else, OSHA's 2015 guide is advisory. This free form follows the guide's model form, sections A to E, with a timeline, the chain of whys and a corrective action tracker.

At a glance

  • Recordable case: on the 300 Log and a 301 within seven calendar days (1904.29(b)(3)).
  • Fatality reported within eight hours; hospitalization, amputation or loss of an eye within twenty-four (1904.39(a)).
  • Process safety management: investigation started within 48 hours, report with set contents, kept five years (1910.119(m)).
  • 1926.502(k) fall protection plan: after a fall or a near miss, investigate whether the plan needs to change (1926.502(k)(10)).

Preview

HazComFast

Incident Investigation Report

Model form: OSHA, Incident [Accident] Investigations: A Guide for Employers (Dec. 2015)

Stated in the cited OSHA paragraph From the manufacturer, a consensus standard or good practice

01Before you start: the clocks that may apply

Report a work-related fatality to OSHA within eight hours (1904.39(a)(1)); an in-patient hospitalization, amputation or loss of an eye within twenty-four hours (1904.39(a)(2)).

A recordable case goes on the OSHA 300 Log and a 301 within seven calendar days of receiving information that it occurred (1904.29(b)(3)).

Process safety management: an incident that resulted in, or could reasonably have resulted in, a catastrophic release is investigated, starting no later than 48 hours after the incident (1910.119(m)(1), (m)(2)).

Fall protection plan under 1926.502(k): after a fall or a related serious incident such as a near miss, investigate whether the plan needs to change (1926.502(k)(10)).

02A. Information

Company

Report no.

Date and time of incident

Date investigation began

Location

Type

Investigator or team, titles

Recordable? 300 Log case no.

Reported to OSHA? Date, time

03B. Incident description and injury information

Injured employee

Employee's first language

Job title

Job at the time of the incident

Type of employment

Time with company, in this job

Injury and its severity

04What happened: before, during and after

05Timeline

TimeEvent

3 more rows in the file.

06Witnesses and people interviewed

NameJob titleDate and time of interviewWhat they saw or know

07C. Root causes: why did it happen, and why was it allowed to happen?

Keep asking why until the answer is something the company can change: equipment, tools, procedures, training, or the work environment. These are the areas the guide names.

Why?Answer
1
2
3
4
5

08D. Recommended corrective actions and E. actions taken

ActionCause addressedOwnerDueDoneVerified by

2 more rows in the file.

09Report reviewed with the people whose work it concerns

NameJob titleDateSignature

Investigator

Date

Reviewed and approved

Date

Learn more

What Goes in an Incident Investigation Report

Free tool. No signup, no account. Want to centralize SDSs and proof? HazComFast (the app) is our paid product.

Next step (recommended)

Record the case on the OSHA 301

Use case: Incidents

In HazComFast an investigation is signed by the investigator and approved by a second manager, and it won't close without an analysis method, or without the 1904.39 report when one applies.

Inside HazComFast

Investigations that reach a cause, a fix and two signatures

A form gets filled in once. HazComFast runs the investigation from the moment the case is recorded to the day a second manager approves it, with the clocks that matter in view the whole time.

  • The deadlines that may apply, on the case

    Before anyone starts, the case lists the four steps and the OSHA clocks that may apply: the 300 Log and 301 within seven calendar days (1904.29(b)(3)), the 8-hour and 24-hour reports (1904.39(a)), and the PSM start (1910.119(m)(2)). It invents no closing deadline, because OSHA sets none.
  • A method, or it doesn't close

    Pick 5 Whys, Fishbone, Swiss Cheese or your own analysis. An investigation without a method can't close, and a 5 Whys with fewer than three answers can't be submitted, a HazComFast rule that keeps empty analyses out of review.
  • Investigator signs, a second manager approves

    Submit for review asks for the investigator's signature and notifies the other admins and managers. The reviewer requests changes or approves and signs, and the investigation turns read-only. An investigation tied to a severe injury won't close until the OSHA report is recorded.
  • A report worth handing over

    Photos filed as scene, equipment, PPE or diagram with their captions, every answer printed in full, and the signature block, in one PDF.

New sign-ups are paused · the free tools need no account

When does OSHA call for an incident investigation?

SituationWhat the paragraph asks29 CFR
Process safety managementInvestigate each incident that resulted in, or could reasonably have resulted in, a catastrophic release; start no later than 48 hours after (1910.119(m)(1), (m)(2))1910.119(m)
Construction under a fall protection planAfter a fall or a related serious incident, investigate whether the plan needs to change and implement the changes (1926.502(k)(10))1926.502(k)(10)
Any other incidentNo general investigation rule; OSHA's 2015 guide is advisoryNone

What goes in an incident investigation report

OSHA's guide, Incident [Accident] Investigations: A Guide for Employers (December 2015), ends with a model form in five sections, and this form follows them:

  1. Information: the company, the date, the investigators and their titles.
  2. Incident description and injury information: the employee, the job, the date, time and place, and what happened before, during and after, with witness accounts.
  3. Root causes: what caused or allowed the incident to happen.
  4. Recommended corrective actions to prevent future incidents.
  5. Corrective actions taken, and the root causes they address.

Under process safety management, the report holds at a minimum the date of the incident, the date the investigation began, a description, the factors that contributed and any recommendations (29 CFR 1910.119(m)(4)), and it is reviewed with all affected personnel whose job tasks are relevant to the findings (1910.119(m)(6)). The article what goes in an incident investigation report goes section by section.

Finding the root cause

The guide puts it plainly: “Determining the root cause is the result of persistently asking ‘why’.” It names the areas where contributing factors are usually found: equipment and machinery, tools, procedures, training, and the work environment. The filled example on this page shows the method on a cut hand at a packing station, five whys down to a missing safety review, with an owner and a date for each fix. The guide names no method; the article on 5 Whys and fishbone on a jobsite compares the common ones, and how long an investigation should take sets a timetable you can defend.

The investigation and the OSHA 301

They are two documents. A recordable injury or illness goes on the OSHA 300 Log and on a 301 within seven calendar days of receiving information that it occurred (29 CFR 1904.29(b)(3)), and the free OSHA 301 form fills it. The investigation covers every incident, near misses included; the article is a near miss OSHA recordable explains where a near miss stands, and the free near miss report captures one. The OSHA recordkeeping guide covers the rest of part 1904.

What OSHA cited most on severe injury reporting in FY2025

ParagraphWhat it coversFY2025 citations
1904.39(a)(2)In-patient hospitalization, amputation or loss of an eye reported within 24 hours682
1904.39(a)(1)Fatality reported within 8 hours117
1904.39(a)(3)How to report: phone, in person or online1
1904.39(b)(7)Reporting after learning of a case later1

1904.39: 801 citations in FY2025 at 786 inspections, 241 of them at construction sites (NAICS 23). Citation items issued Oct 1, 2024 to Sep 30, 2025, counted by HazComFast on U.S. Department of Labor enforcement data (extracted Oct 13, 2026). Inspected establishments, not the whole industry.

Questions about incident investigations

Does OSHA require an incident investigation?

Only in specific standards. Under process safety management, each incident that resulted in, or could reasonably have resulted in, a catastrophic release of a highly hazardous chemical is investigated (29 CFR 1910.119(m)(1)). Under a 1926.502(k) fall protection plan, a fall or a related serious incident such as a near miss is investigated to decide whether the plan needs to change (1926.502(k)(10)). Outside such rules, OSHA's 2015 guide recommends investigating every incident, including close calls, and is advisory.

How long do you have to complete an incident investigation?

OSHA sets no deadline to complete one. Process safety management sets a start: as promptly as possible, no later than 48 hours after the incident (29 CFR 1910.119(m)(2)). The clocks people confuse with it are recordkeeping ones: a recordable case goes on the 300 Log and a 301 within seven calendar days (1904.29(b)(3)), and a fatality is reported within eight hours, a hospitalization, amputation or loss of an eye within twenty-four (1904.39(a)).

Is the investigation report the same as the OSHA 301?

No. The OSHA 301 records a recordable injury or illness, with its own items, within seven calendar days of learning of it (29 CFR 1904.29(b)(3)). The investigation report looks for why it happened and what will prevent it, for any incident, recordable or not. Keep both.

Who should investigate?

OSHA's guide says investigations are most effective when managers and employees conduct them together as a team, and that when a temporary worker is involved, both the staffing agency and the host employer investigate. Under process safety management, the team includes at least one person knowledgeable in the process, and a contract employee if the incident involved a contractor's work (29 CFR 1910.119(m)(3)).

Who signs an incident investigation report?

OSHA does not say. The model form in its guide has no signature line, and the process safety management paragraph asks for the report to be reviewed with all affected personnel whose job tasks are relevant to the findings (29 CFR 1910.119(m)(6)), not signed. Most companies have the investigator sign and a manager approve, and record who reviewed it.

How long should investigation reports be kept?

Process safety management reports are retained for five years (29 CFR 1910.119(m)(7)). Outside that standard OSHA sets no period for investigation reports. The OSHA 301 for a recordable case is kept five years after the end of its calendar year (1904.33(a)).

Sources and verification

Verified against the eCFR on Oct 20, 2026 (title 29 current to Oct 16, 2026) and against OSHA's guide read the same day. State Plan states enforce their own standards, which may go further than the federal ones. Not legal advice.

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