Use this accident injury report form to record accidents that have led to injured employees and persons in the workplace, on-site or in the field. Find the root cause of the incident so you can prevent accidents from happening again
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Templateby SafetyCultureAccident Investigation Report Template
Accident investigation report template is used to determine the root cause of the accident to prevent future accidents. This template can be used by workplace supervisors to record accurate information. Follow the points below to utilize this template: 1. Gather the general information of the injured employee 2. Identify the details of the accident 3. Describe the consequences of the accident 4. Collect witness/es statements if applicable 5. Recommend actions to avoid accident reoccurrence
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Vehicle Accident Report
Vehicular accidents inevitably occur anytime and anywhere. Use this vehicle accident report to generate summary of a vehicle accident. This can be used to identify the root cause of the accident, document physical damages of vehicle, and record witness statements. Capture photo evidence of the injury and environment and track the exact location of the accident being reported.
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Accident Incident Report Form
An accident incident report form is used when someone got injured as a result of collision. This template can be used by fleet managers to document the details of the incident. Use this template to guide the inspector to perform the following: 1. Capture all contact details and verification information of the injured person 2. Describe full details of the injury and the accident 3. Take photo evidence of the surroundings 4. Record emergency services involvement (i.e. police, fire, paramedics), hospitalization information and witness statements 5. Capture electronic signatures from the relevant person involved and injured person
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Incident / Hazard Report Form
Use this hazard report form to: - Identify the incident / hazard type and the level of treatment needed - Record who was injured, their contact number, and the nature of the injury - Document the task/s performed when the incident / injury occurred - Check which factors contributed to the hazard, incident, and/or injury - Specify the control type when creating corrective actions
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