PART C – Investigation - To be filled by the Manager Investigations are usually conducted/coordinated by the supervisor/manager. Investigation Methods InterviewsWritten statementsExamination of accident siteCCTV reviewOther: Brief Summary of findings Recommendations from the Manager EliminationSubstitutionIsolationEngineeringAdministrativePersonal protective equipmentOthers Other parties to advice about the incident? Work Unit/Individual Date advised Method of contact Entry made to incident register by the Admin Staff? YesNoN/A Have you referred to the NDIS Incident Report Policy (for reportable incidents) YesNoN/A Transferred to the risk register for monitoring/review YesNoN/A Any entries to Continues Improvement Register YesNoN/A Manager Name Manager Signatures Date Director Name Director Signatures Date
