Management Investigation

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This form is to be submitted as soon as practicable following the incident having been reported to you. Please answer each question honestly adding relevant attachments as deemed appropriate.

Incident reference number

Investigated by

Date of Incident

What do you think caused this incident (immediate cause)?

What needs to be done to prevent a recurrence?

No, as there was no risk assessment in place. A risk assessment will be considered

Yes, we have reviewed the risk assessment and updated it

Yes, we have reviewed the risk assessment but it was found to be suitable and sufficient

N/A

Is a Health and Safety team investigation required?

How will the corrective action(s) be communicated to management and staff/students

Please add any other information you believe may support your investigation not covered elsewhere

Supporting Documents e.g. risk assessment / procedures, training record, photos

Attach file

No files are currently attached.

Email address

Privacy notice

This form gives the detail of your investigation into the incident. This will be held on file and you can request a copy by contacting the Health & Safety Helpdesk email account.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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