Accident Review Checklist

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Each accident occurring at the construction site has to be reported and a necessary investigation has to be carried out. An accident review checklist is filled up by the supervisor on shift by interviewing the victim and witnesses so that most information is available. This form can later be used to investigate the cause of the accident.

General

Near miss situations?

Yes No Na

Date of accident

Time of accident

Supervisor on duty

Were there workers involved?

Yes No Na

Name of personnel involved?

Accident details

Name of injured person?

Was there a damage to property or material?

Yes No Na

Cause of the accident

Add photos

Actions taken

Signature

SIGNATURE

Is relevant paperwork available?

Yes No Na

Is correct material available?

Yes No Na

Is the job information available by the supervisor?

Yes No Na

Is the material of optimum quality?

Yes No Na

Are correct tools and equipment available?

Yes No Na

Is site-specific PPE being used?

Yes No Na

Is there a sufficient time frame allotted to tasks?

Yes No Na

Are all required documents been signed on?

Yes No Na

Are tasks being carried out as per RAMS?

Yes No Na

Is housekeeping good?

Yes No Na

Is the quality of installation acceptable?

Yes No Na

Has the asbestos report been referred to before commencement of work?

Yes No Na

Are test results recorded?

Yes No Na

Are pictures recorded for office use?

Yes No Na

Is a helper available?

Yes No Na

Is the worker able to carry out required tasks?

Yes No Na

Is the helper aware of safety standards?

Yes No Na

Is general development acceptable?

Yes No Na

Is housekeeping good?

Yes No Na

Is behavior on-site acceptable?

Yes No Na

Signature

SIGNATURE

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