Virginia Department of Forestry

Accident Investigation Report

Accident Name

Month Day, Year

TABLE OF CONTENTS

ACCIDENT INFORMATION	3

ACCIDENT INVESTIGATION TEAM	3

EXECUTIVE SUMMARY	4

FINDINGS	4

CAUSES	5

RECOMMENDATIONS	6

OTHER FINDINGS	6

PHOTOS AND MAPS	7

ACCIDENT INFORMATION

ACCIDENT:	Description

LOCATION:	Address/Location

DATE:	Date of Accident

ACCIDENT INVESTIGATION TEAM

TEAM LEADER/ LEAD INVESTIGATOR:

Chad Briggs
Safety/Training Coordinator, Virginia Department of Forestry

INVESTIGATION TEAM MEMBER:

Name
Title

INVESTIGATION TEAM MEMBER:

Name
Title

INVESTIGATION TEAM MEMBER:

Name
Title

INVESTIGATION TEAM MEMBER:

Name
Title

EXECUTIVE SUMMARY

(narrative)

Weather

Weather at the time of the incident was as follows:

(Mostly sunny, partly sunny, cloudy)

Precipitation – ##% chance

KBDI – ##

Wind – ## mph from the (west, east, north, south)

RH – ##% minimum

Dewpoint – ##

Temp – ##°F maximum

Fire Danger Rating – (Low, Moderate, High, Very High, Extreme)

Chronology of Events

hh:mm – (Action description)

FINDINGS

Finding 1:

Finding 2:

Finding 3:

Finding 4:

Finding 5:

Finding 6:

Finding 7:

Finding 8:

Finding 9:

Finding 10:

CAUSES

Cause 1:

Cause 2:

Cause 3:

Cause 4:

Cause 5:

Cause 6:

Cause 7:

Cause 8:

Cause 9:

Cause 10:

RECOMMENDATIONS

Recommendation 1:

Recommendation 2:

Recommendation 3:

Recommendation 4:

Recommendation 5:

Recommendation 6:

Recommendation 7:

Recommendations 8:

Recommendations 9:

Recommendations 10:

OTHER FINDINGS

PHOTOS AND MAPS

Map #1 - Description

Photo #1 - Description

Photo #2 - Description

Photo #3 - Description

Photo #4 - Description

Photo #5 - Description

Photo #6 - Description

Photo #7 - Description

Photo #8

Photo #9 - Description

Photo #10 - Description

Photo #11 - Description

Photo #12 - Description