INCIDENT RESPONSE CHECKLIST

Use this checklist to document immediate response, evidence capture, and follow-up.

1) Immediate response
- Secure the area and stop work if needed
- Provide first aid or medical response
- Notify supervisor and EHS owner

2) Initial documentation
- Date/time:
- Location/site:
- People involved:
- Description of incident:
- Photos attached (Y/N):
- Witness statements collected (Y/N):

3) Corrective action
- Owner:
- Due date:
- Immediate fix:
- Long-term control:

4) Verification
- Verification date:
- Verified by:
- Evidence attached (Y/N):

Revision: 2026-02-14