Accident Investigation (  PDF Form,  Form Instructions)

An accident investigation is required for employees, students, and visitors who are injured. The supervisor should complete the Accident Investigation Form as soon as possible to accurately record the events surrounding the incident. The employee, supervisor and witnesses should provide input into the accident investigation. Supervisors are encouraged to obtain written accounts of the accident. Supervisors who do not have accident investigation experience can contact Environmental Health & Safety (515-294-5359) for guidance and assistance in accident investigations, especially when a serious injury or major loss occurs. Accident investigations should be completed and the forms sent to Environmental Health and Safety, 1122 EHSSB or emailed to Jon Judge, judge440@iastate.edu within 7 business days of the incident.

Supervisors need to complete both the First Report of Injury and Accident Investigation form for all accidents and injuries occurring at work or in the course of employment, even if no medical attention is required.

Reporting the Accident/Injury

The supervisor and/or employee are responsible for electronically completing a First Report of Injury. The completed First Report of Injury Form is to be sent via Access Plus to the Human Resources Services within 24 hours of when the incident reported.