Forklift Accident Investigation Form
General Information
Date of Accident
Time of Accident
Location
Name(s) of Person(s) Involved
Forklift Model/ID
Accident Details
Describe What Happened
Witnesses
Injuries (if any)
Root Cause Analysis
Immediate Cause(s)
Underlying Cause(s)
Corrective Actions
Actions to Prevent Recurrence
Person Responsible
Target Completion Date
Investigator
Name
Date