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Accident Report Form for C and M Staff

by Chris Lewis, from the Community

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This accident report form helps C and M staff document workplace injuries and incidents from initial details to final sign off. Capture injured person information, date and location, injury nature, equipment involved, and contributing factors. Record witness statements and contacts, note medical attention and police details, and outline corrective actions to stop recurrence. Includes signatures for accountability.

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

About author

Community

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.