H&S Accident / Near Miss Investigation Report

ID Logistics · Practical reporting, operational ownership, H&S review

ID Logistics
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Submitted reports are stored in a server-side database and persist across page refreshes and browser sessions. Treat this as a working log, not a secure record system — route anything sensitive through your formal EHS process too.

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✨ Quick start

What happened? Tell it like you'd tell a coworker.

Describe it in plain language — the built-in analyzer reads it and pre-fills the classification, severity, and injury fields below so you're not clicking through checklists from scratch. You review and fix anything before submitting.

RPT

Report details

Enter your first name.
Enter your last name.
INC

Incident details

Select which site this happened at.
Enter where on site this happened.
Enter the incident date.
Enter the incident time.
TYPE

Classification

Select at least one event category.

Critical or above → complete Critical Injury Approval in Part 3.

Confirm actual obligations with your H&S/compliance team — this field is a flag, not a determination.

PPL

Person involved

DESC

What happened

Describe what happened.
INJ

Injury & immediate response

Up to 3 photos, resized and compressed automatically. Counts toward a shared 20MB storage budget for the whole site — not a substitute for the full-resolution link above.

SIGN1

Reporter sign-off

Whoever completed this report signs here — that might be the associate involved, or a team leader filling it in on their behalf.

EVID

Evidence reviewed

Normally completed by the Team Leader / Area Manager during the investigation.

RCA

Investigation findings & analysis

5 Whys — use brief, factual answers

1
2
3
4
5
CAUSE

Contributing factors

People

Equipment

Environment

Process

TEMP

Temporary controls before work resumes

Complete if applicable.

TL

Team leader review

Confirms the investigation above before it moves to management approval in Part 3.

CAPA

Corrective action plan

Each action should address a finding or root cause. Control type follows the hierarchy of controls (elimination is strongest, PPE is last resort).

OPS

Operations review & approval

HSR

Health & safety review acknowledgement

CRIT

Critical injury approval

⚠️ This form does not notify anyone. For a critical injury or fatality, Ontario law requires immediate phone notification — call the Ministry of Labour Health & Safety Contact Centre at 1-877-202-0008 (24/7), and notify your JHSC/H&S rep and union immediately. A written report to the Ministry is due within 48 hours. Do not disturb the scene until a Ministry inspector permits it.

Sign-off below is internal approval, not the regulatory notification.

CLOSE

Investigation close-out

🔒 Managers & H&S access

This log contains incident and injury details. Enter the H&S code or the manager sign-off code.

🔒 Managers & H&S access

Site-wide incident analytics. Enter the H&S code or the manager sign-off code.