ࡱ>  0bjbj77 nv]kv]k> n n ggggg{{{8l{B;QLhhhGBIBIBIBIBIBIBNEHIBgF"hIBgg^Bb"b"b"pggGBb"GBb"b"n:>ĵkZ< 3BtB0B<dH^ H@>>Hg#>h|b" XhhhIBIB~ hhhBHhhhhhhhhhn -: HEALTH AND SAFETY SERVICES INCIDENT INVESTIGATION REPORT version 3.0 Feb 2026 Please complete parts A and B of this form and then communicated part B to those identified to carrying out recommendations. Please return the full report to your H&S Services Adviser or Business Partner and also H&S Service via safety@reading.ac.uk. Thank you, H&S Services team. PART A Investigation scopeHealth and Safety Services Incident Notification Number:Date of incident:School/Directorate:Department/Service:Name of Injured Person (if applicable):Injured Person contact details (if not already provided on Incident Notification Form):Date(s) of investigation:Investigated by:Persons contributing to the investigation: 2 INCIDENT DETAILS - gather the facts Circumstances & sequence of events, including any unusual working conditions: Injury / ill health / damage sustained & treatment given: Date first day away from work (if applicable): Date first day return to work (if applicable):Details of plant / equipment / substances / location (include photographs and sketches) Witnesses (attach statements): Management / emergency response to the incident:  3 INVESTIGATION FINDINGSImmediate cause(s): Underlying and contributory factors: Conclusions and comments:  PART B. To be shared with those carrying out recommendations and the local H&S committee 4. Incident Summary - for use at H&S committeesHealth and Safety Services Incident Notification Number:Date of incident:Record an anonymous summary of the incident and main investigation findings:  5. Improvement recommendationsRecommendation to be carried outBy whomBy whenDate communicated Name of Report Author: Date of Report: Please return the full completed form to your H&S Services Adviser or Business Partner and also H&S Service via safety@reading.ac.uk. Thank you, the H&S Services team. The information contained with this report must be treated in confidence, stored and shared securely. This information is only to be shared with those involved in the management of health and safety accident and incident response and on a strictly need to know basis. 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