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Weitsman Recycling Accident Report

by Joan Roof, from the Community

Downloads: 10+
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This accident report form is tailored for Upstate Shredding–Weitsman Recycling locations to document employee injury incidents. It guides supervisors to record site location, date and time, employee details, hours worked, and whether a company vehicle was involved. It prompts photo evidence, incident narrative, witnesses and contacts, injury description, affected body part checklist, and how the injury occurred. Medical evaluation details include provider, transport, prescriptions, stitches, loss of consciousness, hospitalization, work restrictions, and return to work guidance. The form concludes with preparer information and signatures from the preparer and injured employee.

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

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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.