1. Template
CRTICIAL INCIDENT REVIEW
Name of Organisation ________________________________________________________________
Event/Programme description _________________________________________________________
Location __________________________________________________________________________
Leader ____________________________ Co-leader(s) _____________________________________
Participant profile ___________________________________________________________________
Incident description (be concise, stick to facts, identify causes, state consequences & action taken)
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ROOT CAUSE ANALYSIS
Risk assessment (identify environmental factor, state human action that led to Incident)
Hazard____________________________________________________________________________
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Human action ______________________________________________________________________
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Conclusion _________________________________________________________________________
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Learning __________________________________________________________________________
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Action recommended to prevent recurrence of such an Incident in future ______________________
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