Skip to main content

Accident Investigation Form Spain (Formulario de Investigación de Accidente)

Accident Investigation Form Spain (Formulario de Investigación de Accidente)

FORMULARIO DE INVESTIGACIÓN DE ACCIDENTE DE TRABAJO

Accident Investigation Form — Spain

Pursuant to Ley 31/1995 de Prevención de Riesgos Laborales, Article 16

1. ACCIDENT DETAILS

Date of Accident: [Accident Date]

Time of Accident: [Accident Time]

Location: [Accident Location]

Description of Events:

[Accident Description]

Witnesses: [Witnesses]

2. INJURED WORKER DETAILS

Worker Name: [Worker Name] | DNI/NIE: [Worker DNI]

Job Title: [Worker Job Title] | NSS: [Worker NSS]

Contract Type: [Contract Type]

Personal Protective Equipment (EPI) in Use: [EPI Used]

3. INJURY DETAILS AND SEVERITY

Type of Injury: [Injury Type]

Body Part Affected: [Body Part]

Severity Classification (LISOS art. 13): [Injury Severity]

Medical Attention: [Medical Attention]

Work Incapacity (Baja Laboral): [Work Incapacity]

4. CAUSAL ANALYSIS (ÁRBOL DE CAUSAS — INSST)

Immediate Causes (Causas Inmediatas):

[Immediate Causes]

Root Causes (Causas Raíz):

[Root Causes]

Risk Assessment Update Required: [Risk Assessment Update]

5. CORRECTIVE AND PREVENTIVE ACTIONS

Action 1:

Description: [Corrective Action 1]

Responsible: [Action 1 Responsible] | Deadline: [Action 1 Deadline]

Action 2:

Description: [Corrective Action 2]

Responsible: [Action 2 Responsible] | Deadline: [Action 2 Deadline]

SIGNATURES

Investigated in [Report City], on [Investigation Date].

Lead Investigator (Técnico de Prevención / SPRL): [Investigator Name]

Signature: _________________________ Date: _________________________

Delegado de Prevención (LPRL art. 36.2(f)): [Delegado Prevencion]

Signature: _________________________ Date: _________________________

Line Manager: _________________________

Signature: _________________________ Date: _________________________

NOTE: Serious, very serious, and fatal accidents must be notified to the Inspección de Trabajo y Seguridad Social (ITSS) immediately under LPRL art. 23.3. Accidents con baja must be reported via Delt@ (Sistema de Declaración Electrónica de Accidentes de Trabajo) within 5 working days.

Lead Investigator / Safety Officer

________________

Signature

Delegado de Prevención

________________

Signature

Maintained by Vladislav Sergienko, Founder·Template last modified: ·Report an error

What Is a Accident Investigation Form Spain (Formulario de Investigación de Accidente)?

An Accident Investigation Form Spain (Formulario de Investigación de Accidente de Trabajo) is a structured document used by Spanish employers to systematically analyse the causes of a workplace accident (accidente de trabajo), identify contributing factors, and define corrective and preventive measures, as required by Ley 31/1995 de Prevención de Riesgos Laborales (LPRL) Article 16, which obliges employers to investigate accidents and incidents in the workplace and to adopt measures to prevent their recurrence.

Ley 31/1995 (LPRL) is the foundational statute of Spanish occupational health and safety law, transposing European Directive 89/391/CEE (Marco Directive on Safety and Health at Work) into Spanish law. Article 16 LPRL requires employers to maintain an active sistema de gestión de la prevención de riesgos laborales, including procedures for investigating accidents to determine their causes and to update the empresa's evaluación de riesgos laborales accordingly. Real Decreto 39/1997 (Reglamento de los Servicios de Prevención — RSP) and Real Decreto 1627/1997 (construcción sector) set out the detailed requirements for the prevention management system.

A workplace accident (accidente de trabajo) in Spain is defined by Article 115 of the Ley General de la Seguridad Social (Real Decreto Legislativo 8/2015) as any bodily injury suffered by a worker as a consequence of work performed as an employee. This includes accidents occurring at the workplace, accidents in itinere (on the commute between home and work), and occupational diseases (enfermedades profesionales) listed in Real Decreto 1299/2006. Employers must notify accidents to the Mutua Colaboradora con la Seguridad Social (Mutua) and to the Seguridad Social through the Delt@ system (Declaración Electrónica de Accidentes de Trabajo) managed by the Ministerio de Trabajo y Economía Social.

Under Article 23 LPRL, employers must document their accident prevention activities, including investigation results. The Inspección de Trabajo y Seguridad Social (ITSS) — the primary enforcement body for occupational safety under Ley Ordenadora de la Inspección de Trabajo y Seguridad Social (Ley 23/2015) — routinely requests accident investigation reports during workplace inspections and following serious or fatal accidents. Failure to investigate accidents or to take corrective action constitutes an infraction under Real Decreto Legislativo 5/2000 (LISOS), with fines ranging from €2,046 to €41,025 for serious infractions, and up to €819,780 for very serious infractions.

The Servicio de Prevención de Riesgos Laborales (SPRL) — whether internal (servicio de prevención propio), shared (mancomunado), or external (servicio de prevención ajeno) accredited under Real Decreto 39/1997 — is responsible for leading accident investigations and for updating the company's plan de prevención de riesgos laborales. Workers' safety representatives (Delegados de Prevención), elected under Article 35 LPRL, have the right to participate in accident investigations under Article 36.2(f) LPRL.

The legal framework governing the Accident Investigation Form Spain (Formulario de Investigación de Accidente) in Spain draws on several key statutes and regulatory bodies. Under the Estatuto de los Trabajadores (ET) RDL 2/2015, Spanish employment law governs contracts, dismissals, and working conditions. The Tesorería General de la Seguridad Social (TGSS) administers social security contributions. The Servicio Público de Empleo Estatal (SEPE) manages unemployment benefits. The Inspección de Trabajo y Seguridad Social enforces labour compliance. The Juzgados de lo Social hear employment disputes under the Ley Reguladora de la Jurisdicción Social (Ley 36/2011). Parties executing a Accident Investigation Form Spain (Formulario de Investigación de Accidente) in Spain should confirm the document reflects current law, including any amendments enacted since the original drafting date. The Ley 31/1995 de Prevención de Riesgos Laborales, Article 16 sets the foundational requirements.

When Do You Need a Accident Investigation Form Spain (Formulario de Investigación de Accidente)?

An Accident Investigation Form Spain is required after every workplace accident (accidente de trabajo) that results in injury, near-miss, or dangerous occurrence — regardless of severity — as part of the employer's mandatory prevention management system under Ley 31/1995 (LPRL) Article 16 and Real Decreto 39/1997 (RSP).

The form is mandatory after any accident resulting in a worker being unable to work for at least one day beyond the day of the accident (accidente con baja). Under Real Decreto 1273/2003 and the LPRL, such accidents must be notified to the Mutua Colaboradora and to the Seguridad Social through the Delt@ electronic system within 5 working days of the accident.

An Accident Investigation Form is required after accidents in itinere (commuting accidents) that involve injury — although the employer is not responsible for the accident itself, LPRL obligations require the employer to consider whether company policies on working hours or transportation may have contributed.

The form is also needed after any near-miss (accidente sin baja or incidente peligroso) — an event that did not result in injury but had the potential to do so. Real Decreto 39/1997 Article 9 requires employers to investigate incidents to prevent escalation.

In the construction sector, Real Decreto 1627/1997 imposes additional investigation and reporting obligations on the Coordinador de Seguridad y Salud. In companies where a Comité de Seguridad y Salud (joint employer-employee safety committee) operates — required when the workforce exceeds 50 employees under Article 38 LPRL — the committee has the right to know and be consulted on all accident investigations under Article 39.1(a) LPRL.

Parties in Spain should prepare a Accident Investigation Form Spain (Formulario de Investigación de Accidente) proactively rather than waiting for a dispute to arise. Courts interpret agreements based on the written terms rather than oral representations. Under the Estatuto de los Trabajadores (ET) RDL 2/2015, Spanish employment law governs contracts, dismissals, and working conditions. The Tesorería General de la Seguridad Social (TGSS) administers social security contributions. The Servicio Público de Empleo Estatal (SEPE) manages unemployment benefits. The Inspección de Trabajo y Seguridad Social enforces labour compliance. The Juzgados de lo Social hear employment disputes under the Ley Reguladora de la Jurisdicción Social (Ley 36/2011). Where the transaction involves regulated activities, prior approval from the relevant authority may be required before execution.

What to Include in Your Accident Investigation Form Spain (Formulario de Investigación de Accidente)

A valid Accident Investigation Form Spain under Ley 31/1995 (LPRL) Article 16 and Real Decreto 39/1997 (RSP) must contain the following key elements to satisfy ITSS requirements and support effective prevention.

Accident and Worker Identification: Full name and DNI/NIE of the injured worker, job title, work location (centro de trabajo), department, start date, and social security number (NSS). Type of employment contract and whether a training period was in progress at the time of the accident.

Accident Details: Date, time, and precise location of the accident. A factual description of what happened, the tools or equipment involved, and environmental conditions. Witness names and contact details. Whether EPI (equipo de protección individual) was being used at the time.

Injury Description: Type and location of injury (tipo y localización de la lesión) and the body part affected. Whether the worker required first aid, emergency services, hospitalisation, or is expected to be on baja laboral. Severity classification under LISOS Article 13 — leve, grave, muy grave, or mortal.

Causal Analysis: Identification of immediate causes (causas inmediatas: unsafe acts and unsafe conditions) and root causes (causas raíz: management system failures, inadequate training). The Árbol de Causas (Fault Tree Analysis) methodology from the Instituto Nacional de Seguridad y Salud en el Trabajo (INSST) should be applied.

Evaluación de Riesgos Update: Whether the accident reveals a hazard not identified in the empresa's evaluación de riesgos laborales (LPRL Article 16.2 and RSP Article 4), and whether the plan de prevención must be updated.

Corrective and Preventive Actions: A numbered list of specific corrective actions with the responsible person, implementation deadline, and verification method. The Delegados de Prevención must be consulted on corrective measures under Article 36.2 LPRL.

Signature and Distribution: Signature of the investigator (Técnico de Prevención or SPRL), the line manager, the Delegado de Prevención who participated, and where applicable, the ITSS inspector. Forms-legal.com provides this Accident Investigation Form Spain as a practical starting point — every employer should engage an accredited Servicio de Prevención Ajeno or maintain a qualified internal Técnico de Prevención to lead accident investigations in compliance with LPRL and INSST guidance.

Additional compliance elements for a Accident Investigation Form Spain (Formulario de Investigación de Accidente) used in Spain include: Under the Estatuto de los Trabajadores (ET) RDL 2/2015, Spanish employment law governs contracts, dismissals, and working conditions. The Tesorería General de la Seguridad Social (TGSS) administers social security contributions. The Servicio Público de Empleo Estatal (SEPE) manages unemployment benefits. The Inspección de Trabajo y Seguridad Social enforces labour compliance. The Juzgados de lo Social hear employment disputes under the Ley Reguladora de la Jurisdicción Social (Ley 36/2011). Forms-legal.com provides this template as a starting point for Spain-compliant documentation.

Cite this page

Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Accident Investigation Form Spain (Formulario de Investigación de Accidente) (Spain) [Legal document template]. Forms Legal. https://forms-legal.com/espana/employment/health-safety/accident-investigation-form-spain

MLA

"Accident Investigation Form Spain (Formulario de Investigación de Accidente) (Spain)." Forms Legal, 2026, https://forms-legal.com/espana/employment/health-safety/accident-investigation-form-spain.

BibTeX
@misc{formslegal-accident-investigation-form-spain,
  author       = {{Forms Legal}},
  title        = {Accident Investigation Form Spain (Formulario de Investigación de Accidente) (Spain)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/espana/employment/health-safety/accident-investigation-form-spain}},
  note         = {Free legal document template}
}

Frequently Asked Questions

Statute-referenced template — Template last modified June 2026

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

Found an error? Let us know

Related Documents

You may also find these documents useful:

Contrato de Trabajo Indefinido España

Contrato de Trabajo Indefinido para España — conforme al Estatuto de los Trabajadores (RDL 2/2015), artículos 15 y 49, estableciendo una relación laboral por tiempo indefinido con alta en la Tesorería General de la Seguridad Social (TGSS).

Formulario de Incorporación de Empleado (España)

Formulario de Incorporación de Empleado para España, conforme al artículo 8 del Estatuto de los Trabajadores (RDL 2/2015), para recoger los datos del nuevo trabajador necesarios para el alta en la TGSS, la comunicación al SEPE, la retención del IRPF (Modelo 145) y la acogida preventiva conforme a la Ley 31/1995 LPRL.

Formulario de Evaluación del Desempeño (España)

Formulario de Evaluación del Desempeño para España — regulado por el artículo 20 del Estatuto de los Trabajadores (RDL 2/2015), que documenta las evaluaciones del rendimiento de los empleados para expedientes de RRHH, revisiones salariales, decisiones de ascenso y procedimientos disciplinarios ante el Juzgado de lo Social.

Carta de Advertencia al Empleado en España

Una Carta de Advertencia al Empleado para España — regida por el artículo 58 del Estatuto de los Trabajadores, que notifica formalmente al trabajador de una falta laboral, creando el expediente disciplinario necesario antes de imponer sanciones o iniciar un procedimiento de despido ante el Juzgado de lo Social.

Acuerdo de Confidencialidad España — Ley 1/2019 de Secretos Empresariales

Acuerdo de Confidencialidad (NDA) para España conforme al artículo 1255 del Código Civil, la Ley Orgánica 3/2018 (LOPDGDD) y la Ley 1/2019 de Secretos Empresariales, que protege la información empresarial confidencial, los secretos comerciales y los datos exclusivos en relaciones comerciales.