English names and summaries of Korean laws are unofficial translations. The Korean text on the Korean Law Information Center (law.go.kr) prevails.
Serious Accident Response in Korea: statutory forms and record templates
Key terms in Korean and English
- Occupational Safety and Health Act (산업안전보건법)
- Serious Accidents Punishment Act (중대재해 처벌 등에 관한 법률)
- industrial accident (산업재해)
- serious accident (중대재해, OSH Act)
- responsible management officer (경영책임자등)
- employer (사업주)
- safety and health management system (안전보건관리체계)
- supervisor (관리감독자)
- safety and health manager (안전보건관리담당자)
- risk assessment (위험성평가)
- work stoppage (작업중지)
- work stoppage order (작업중지 명령)
- application to lift a work stoppage order (작업중지 해제 신청)
- accident investigation report (재해조사보고서)
- supervisor (관리감독자)
1. Statutory forms (annexed to the OSH Act Enforcement Rule)
Available from the Korean Law Information Center (forms are in Korean).
| Form | When | Who |
|---|---|---|
| Form No. 28 — Work stoppage order for serious accidents | When a stoppage order is issued | Issued by the regional office |
| Form No. 29 — Application to lift a work stoppage order (full or partial) | After improvements are complete | Submitted by the employer |
| Form No. 30 — Industrial Accident Investigation Report | Within one month of a fatality or an injury/disease needing 3+ days off | Submitted by the employer |
There is no prescribed form for the immediate report under Article 67; Form B below is an internal memo so the three items are not missed.
2. Site templates (internal records, Korean and English)
| Code | Template | Main fields |
|---|---|---|
| A | First-response checklist | Time of awareness, stoppage time and scope, evacuees, 119 call time, first aid, further-harm measures, checker |
| B | Serious accident report memo | Report time, office and officer, method, the three report items, reporter |
| C | Scene preservation and access log | Controlled area, start time, people entering, items moved with reason and photo numbers |
| D | Accident timeline sheet | Time, fact, source (witness, CCTV, record), verification status |
| E | Work stoppage lifting checklist | Improvement items, completion date and evidence, record of hearing affected workers |
| F | Recurrence prevention tracker | Direct and management causes; measures by equipment, procedure, people, budget; owner, deadline, completion check; other sites to apply |
| G | Six-monthly SAPA review sheet | Results for SAPA Decree Art. 4 sub. 3, 5(b), 7, 8, 9 and Art. 5(2) sub. 1 and 3, and the date reported to the responsible management officer |
Occupational Safety and Health Act · OSH Act Enforcement Rule · Serious Accidents Punishment Act · SAPA Enforcement Decree
Official government forms
Official Korean government form, downloaded from the Korean Law Information Center (Korean only).
Form 28 — Work stoppage order following a serious accident
Enforcement Rule, Form 28 — HWP via the Korean Law Information Center · Enforcement Rule, Form 28 — PDF via the Korean Law Information Center · Enforcement Rule, Form 28 (Korean Law Information Center)
Form 29 — Application to lift all or part of a work stoppage order
Enforcement Rule, Form 29 — HWP via the Korean Law Information Center · Enforcement Rule, Form 29 — PDF via the Korean Law Information Center · Enforcement Rule, Form 29 (Korean Law Information Center)
Form 30 — Industrial accident investigation form
Enforcement Rule, Form 30 — HWP via the Korean Law Information Center · Enforcement Rule, Form 30 — PDF via the Korean Law Information Center · Enforcement Rule, Form 30 (Korean Law Information Center) · Submit online (Korean)
Excel forms
A4 print-ready Excel with sign-off boxes. Adapt the boxes and wording to your organisation.
A. First response checklist
Download Excel Excel · 9KB · Korean-language file
Preview — A. First response checklist
| Serious Accident First-Response Checklist | Sign- off | Prep. | Rev. | Appr. | |||||||
| Basis: OSH Act Article 54 (employer's actions when a serious accident occurs); Enforcement Rule Article 67 (reporting) | |||||||||||
| Doc. No. | Date | Department | |||||||||
| 1. Accident details | |||||||||||
| Workplace / site | Location | ||||||||||
| Occurred at | Known at | ||||||||||
| How known | First aware | ||||||||||
| Summary | |||||||||||
| 2. Casualties | |||||||||||
| Category | Deaths | Injured | Employer / job | Notes | |||||||
| Own workers | |||||||||||
| Subcontractor workers | |||||||||||
| Others | |||||||||||
| 3. First-response actions | |||||||||||
| No | Action | Done? | Time | By | |||||||
| Stop the hazardous work and evacuate workers | |||||||||||
| Call 119 and give first aid | |||||||||||
| Remove secondary hazards (isolate power, gas, equipment) | |||||||||||
| Decide the scope of work stoppage (incl. similar work) | |||||||||||
| Preserve the scene and control access (Form C) | |||||||||||
| Report to the regional MOEL office (Form B) | |||||||||||
| Inform the principal contractor and management | |||||||||||
| Contact the injured worker's family | |||||||||||
| List witnesses and persons involved | |||||||||||
| Secure photos, video and CCTV records | |||||||||||
| 4. Remarks and sign-off | |||||||||||
| Remarks | |||||||||||
| Prepared by | (signature) | Checked by | (signature) | ||||||||
| How to complete | |||||||||||
| ※ Enter times as yyyy-mm-dd hh:mm (e.g. 2026-10-01 09:30). Leave unconfirmed facts blank. | |||||||||||
| ※ When a serious accident occurs, the employer must stop the work immediately, evacuate workers and report to the regional MOEL office without delay (OSH Act Article 54). | |||||||||||
| ※ This sheet is a site record. Use Form B for the report and Form C for scene access. | |||||||||||
B. Serious accident report memo
Download Excel Excel · 8KB · Korean-language file
Preview — B. Serious accident report memo
| Serious Accident Report Record | Sign- off | Prep. | Rev. | Appr. | |||||||
| Basis: OSH Act Article 54(2); Enforcement Rule Article 67 (reporting a serious accident) | |||||||||||
| Doc. No. | Date | Department | |||||||||
| 1. Report details | |||||||||||
| Reported at | Method | ||||||||||
| Office | Received by | ||||||||||
| Reported by | Contact | ||||||||||
| 2. Report content (Enforcement Rule Article 67) | |||||||||||
| (1) Outline and damage | |||||||||||
| (2) Actions and outlook | |||||||||||
| (3) Other important matters | |||||||||||
| Office instructions / requests | |||||||||||
| 3. Internal reporting | |||||||||||
| No | Reported to | Time | Method | By | |||||||
| Responsible management officer | |||||||||||
| Principal contractor | |||||||||||
| Head-office safety team | |||||||||||
| 4. Follow-up and sign-off | |||||||||||
| Accident investigation report due | Submitted on | ||||||||||
| Prepared by | (signature) | Checked by | (signature) | ||||||||
| How to complete | |||||||||||
| ※ Enter times as yyyy-mm-dd hh:mm (e.g. 2026-10-01 09:30). Leave unconfirmed facts blank. | |||||||||||
| ※ On becoming aware of a serious accident, report items (1)–(3) to the regional MOEL office without delay by phone, fax or other suitable means (Enforcement Rule Article 67). | |||||||||||
| ※ Submit the industrial accident investigation report (Enforcement Rule Form 30) within one month of the accident (Enforcement Rule Article 73). Download the official Korean form from the Korean Law Information Center. | |||||||||||
C. Scene preservation log
Download Excel Excel · 10KB · Korean-language file
Preview — C. Scene preservation log
| Scene Preservation and Access Log | Sign- off | Prep. | Rev. | Appr. | |||||||
| Basis: OSH Act Article 56 (investigation of causes of serious accidents and other covered incidents) | |||||||||||
| Doc. No. | Date | Department | |||||||||
| 1. Control outline | |||||||||||
| Controlled area | |||||||||||
| Control from | Control lifted | ||||||||||
| Person in charge | Method | ||||||||||
| 2. Access record | |||||||||||
| No | Time in | Time out | Name | Organisation | Purpose | Check | |||||
| 3. Changes to the scene (unavoidable only) | |||||||||||
| No | Time | Item moved or changed | Reason | Photo No. | Approved by | ||||||
| How to complete | |||||||||||
| ※ Enter times as yyyy-mm-dd hh:mm (e.g. 2026-10-01 09:30). Leave unconfirmed facts blank. | |||||||||||
| ※ No one may damage the scene of a serious accident or obstruct MOEL's investigation (OSH Act Article 56). | |||||||||||
| ※ If the scene had to be changed for rescue or to prevent further harm, take before-and-after photos and record it in section 3. | |||||||||||
| ※ If you need more rows, insert them inside the table in section 2; the print area extends with them. | |||||||||||
D. Accident timeline
Download Excel Excel · 9KB · Korean-language file
Preview — D. Accident timeline
| Accident Timeline | Sign- off | Prep. | Rev. | Appr. | |||||||
| Reference: Industrial accident investigation report (Enforcement Rule Form 30), Part III: outline and causes | |||||||||||
| Doc. No. | Date | Department | |||||||||
| 1. Accident outline | |||||||||||
| Occurred at | Location | ||||||||||
| Type of work involved | |||||||||||
| Situation at the time | |||||||||||
| 2. Sequence of events | |||||||||||
| No | Time | Confirmed fact | Source | Status | |||||||
| 3. Causes (based on confirmed facts) | |||||||||||
| Direct causes | |||||||||||
| Management causes | |||||||||||
| How to complete | |||||||||||
| ※ Enter times as yyyy-mm-dd hh:mm (e.g. 2026-10-01 09:30). Leave unconfirmed facts blank. | |||||||||||
| ※ One fact per row, with its source. Do not use unconfirmed facts as the basis for causes. | |||||||||||
| ※ Sections 1 and 3 can be carried over to Part III of the investigation report (Form 30). | |||||||||||
E. Work stoppage lifting checklist
Download Excel Excel · 9KB · Korean-language file
Preview — E. Work stoppage lifting checklist
| Work Stoppage Lifting Checklist | Sign- off | Prep. | Rev. | Appr. | |||||||
| Reference: Application to lift a work stoppage order (Enforcement Rule Form 29); Enforcement Rule Article 69 | |||||||||||
| Doc. No. | Date | Department | |||||||||
| 1. Stop-work order | |||||||||||
| Issued by | Order date | ||||||||||
| Scope | Work / equipment | ||||||||||
| 2. Safety and health improvements | |||||||||||
| No | Hazard | Improvement made | Completed | Evidence No. | |||||||
| 3. Hearing the workers concerned | |||||||||||
| No | Time | Attendees | Main views | Reflected | |||||||
| 4. Before submitting the application | |||||||||||
| No | Check item | Done? | Notes | ||||||||
| Scope and improvements entered on the application (Form 29) | |||||||||||
| Evidence of the improvements (photos etc.) attached | |||||||||||
| Written views of the workers concerned attached | |||||||||||
| Checkers' unit, title and name entered and signed | |||||||||||
| 5. Progress | |||||||||||
| Applied on | Review meeting | ||||||||||
| Lifting notified | Work resumed | ||||||||||
| How to complete | |||||||||||
| ※ Download and complete the official Korean application (Form 29) from the Korean Law Information Center. This sheet only prepares the submission. | |||||||||||
| ※ The regional MOEL office holds a review meeting within four days of receiving the application (Enforcement Rule Article 69). | |||||||||||
| ※ Enter times as yyyy-mm-dd hh:mm (e.g. 2026-10-01 09:30). Leave unconfirmed facts blank. | |||||||||||
F. Recurrence prevention tracker
Download Excel Excel · 9KB · Korean-language file
Preview — F. Recurrence prevention tracker
| Recurrence Prevention Tracker | Sign- off | Prep. | Rev. | Appr. | |||||||||||||||
| Reference: Industrial accident investigation report (Enforcement Rule Form 30), Part IV: recurrence prevention plan | |||||||||||||||||||
| Doc. No. | Date | Department | |||||||||||||||||
| 1. Accident outline | |||||||||||||||||||
| Occurred at | Location | Accident type | |||||||||||||||||
| 2. Action tracking | |||||||||||||||||||
| No | Cause type | Cause | Measure type | Measure | Owner | Due | Verified | Roll out to | Status | ||||||||||
| Prepared by | (signature) | Reviewed by | (signature) | ||||||||||||||||
| How to complete | |||||||||||||||||||
| ※ Give each measure one owner and one due date. If a measure is late, add the reason and the new date to the measure. | |||||||||||||||||||
| ※ Under 'Roll out to', list other work, equipment or sites with the same hazard. | |||||||||||||||||||
| ※ Section 2 can be carried over to Part IV of the investigation report (Form 30). | |||||||||||||||||||
G. SAPA six-monthly review
Download Excel Excel · 9KB · Korean-language file
Preview — G. SAPA six-monthly review
| SAPA Six-Monthly Review | Sign- off | Prep. | Rev. | Appr. | |||||||||||||||
| Basis: Serious Accidents Punishment Act (SAPA) Article 4; Enforcement Decree Articles 4 and 5 | |||||||||||||||||||
| Doc. No. | Date | Department | |||||||||||||||||
| 1. Review outline | |||||||||||||||||||
| Half-year | Review period | Reviewer | |||||||||||||||||
| 2. Results | |||||||||||||||||||
| No | Basis | Requirement | Date | Result | Deficiencies | Action and due date | |||||||||||||
| Decree Art. 4(3) | Procedures to identify and improve hazards; review at least every six months and act on findings (deemed met if risk assessment is set up, carried out and reported) | ||||||||||||||||||
| Decree Art. 4(5)(b) | Give authority and budget to the safety and health managers, supervisors and general safety officers; set criteria and evaluate them at least every six months | ||||||||||||||||||
| Decree Art. 4(7) | Procedures to hear workers' views; check implementation of improvements at least every six months (deemed met if discussed at the OSH committee or council) | ||||||||||||||||||
| Decree Art. 4(8) | Serious accident manual (stop work, evacuate, remove hazards, rescue, prevent further harm); review at least every six months | ||||||||||||||||||
| Decree Art. 4(9) | Criteria and procedures for evaluating contractors, safety cost and (construction, shipbuilding) duration criteria; review at least every six months | ||||||||||||||||||
| Decree Art. 5(2)(1) | Check compliance with safety and health laws at least every six months; if not met, add staff or budget | ||||||||||||||||||
| Decree Art. 5(2)(3) | Check that statutory safety training for hazardous work is delivered at least every six months; if not, order it and fund it | ||||||||||||||||||
| 3. Report to the responsible management officer | |||||||||||||||||||
| Reported on | Method | Officer's sign-off | (signature) | ||||||||||||||||
| How to complete | |||||||||||||||||||
| ※ The reviews under Decree Article 4(3), (5), (7), (8), (9) and Article 5(2)(1) and (3) must be done at least every six months. | |||||||||||||||||||
| ※ If the responsible management officer did not carry out the review personally, they must receive the results without delay (Decree Article 5(2)). | |||||||||||||||||||
| ※ For deficient items, record the action and due date, and check completion at the next review. | |||||||||||||||||||
Related official resources
- Guide to establishing a safety and health management system — MOEL Anyang Office · Published 2021-08-29
- Safety and health management system self-checklist for SAPA — KOSHA · Published 2022-03
Forms No. 28, 29 and 30 (Korean): open the Enforcement Rule forms tab
Assigning an author and recipient for each form
When selecting a form, identify who prepares it and who receives it. Notes made during rescue, internal reports and statutory submissions have different uses; entering information in a file does not establish that a submission is complete.
When a record is amended, tell recipients what changed. Keep the original record distinct from later additions so a replacement contact can establish which information supported a report.
Check that records match actions rather than focusing only on filled fields. Confirm actual completion with the action owner and pass unfinished items to the follow-up contact.