Fishing Incident Investigation Report (Form 52E40F)

Employers are responsible for investigating certain incidents or near misses that take place in the workplace and submitting an investigation report to WorkSafeBC. These investigations help employers and WorkSafeBC determine why an incident happened and what can be done to prevent similar situations in the future.

This form is provided to the Master or Owner of the vessel for the purpose of documenting the investigation into a fishing incident. It can be used to create all four reports that may be required following an incident in your workplace. This template will help you collect all the necessary information and reduce the work associated with completing multiple, separate reports.

Ways to submit a Fishing Employer Incident Investigation Report (EIIR)

  • If you are using our fillable PDF template or your own reporting template, you can upload your report to us.
  • Alternatively, you can fax your report to 604.276.3247 (toll-free at 1.866.240.1434) or send by mail to: WorkSafeBC, PO Box 5350 Stn Terminal, Vancouver, BC V6B 5L5.

Please note that investigations related to fishing incidents cannot be reported using the online EIIR tool at this time.

View the Conducting an employer investigation page for more information.