Use this accident and near miss report template to document workplace incidents comprehensively. Capture when and where it happened, hours at work, nature of injury, training status, hazards involved, vehicle details, and severity. Record treatment given, initial needs assessment, and whether light duties or time off is required. Assign responsible persons, list corrective actions with due dates and completion dates, and note whether hazards are on the register. Includes signatures for employee, management, and treating doctor to formalize the investigation and prevention plan.
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