Use this work related injury report to document accidents involving employees or contractors on site or in the field. Record incident date, location, injured body part, photos, tools involved, contributing factors, and safety measures. Capture witness statements and medical details, note emergency services and police reports, and link customer and work order information. Include corrective actions to address root causes and prevent recurrence. Completed reports can be sent to the designated claims email for follow up and compliance.
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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.