Get the free Elevating Device Accident Report

This document serves as a report form for notifying the Oklahoma Department of Labor about accidents involving elevators or other elevating devices, including personal injuries or damage.

How to fill out elevating device accident report

How to fill out Elevating Device Accident Report

1. Start by filling in the date and time of the accident.
2. Provide the location of the incident, including the address and any relevant identifiers.
3. Describe the type of elevating device involved (e.g., lift, hoist, etc.).
4. Detail the nature of the accident, including what occurred and any contributing factors.
5. List the names and contact information of individuals involved in the accident.
6. Record any injuries sustained and treatment provided.
7. Include any witness information and their contact details.
8. Attach any supporting documents or evidence, such as photos or maintenance records.
9. Review the report for accuracy and completeness before submission.
10. Submit the report to the designated authority or department.

Who needs Elevating Device Accident Report?

1. Employers responsible for workplace safety and compliance.
2. Safety inspectors and regulatory agencies.
3. Insurance companies for claims processing.
4. Legal teams involved in incident investigations.
5. Maintenance teams for future safety assessments.

People Also Ask about

What are the 5 elements of an incident report?

The five elements of an incident report are the description of the incident, date and time, location, parties involved, and actions taken or proposed.

How to write an effective accident report?

The following steps take you through each part of the incident report and explain how to respond to each section: Have all basic facts prepared. Explain the sequence of events step-by-step. Analyze the incident. Describe any injuries. Proofread your work. Submit your report.

What was the biggest elevator accident?

On 28 July 1945, a U.S. Army plane crashed into the Empire State Building in New York City, causing an elevator to fall 75 stories (more than 300 meters or 1,000 feet). Elevator operator Betty Lou Oliver was injured but survived. It remains the Guinness World Record for the longest fall survived in an elevator.

How do you write a good accident report?

Here are some details you'll want to include when writing a report for the car accident you were involved in: The Other Driver's Identity. The Time and Location of the Collision. Vehicle Information. Insurance Details. Eye-Witness Information. An Explanation of How the Collision Occurred. Seek Medical Attention.

How do you write an incident report example?

Three Incident Report Samples Type of incident (injury, near miss, property damage, or theft) Location (Address) Date/time of incident. Name. Name of supervisor. Description of the incident, including specific job site location, the sequence of events, and the results of the event. Whether or not proper PPE was being used.

How do you write a description of an accident?

Remember, be truthful, objective and calm — all important while describing a car crash. Get a sense of the vehicles in the accident and the number of people if you can. Where were you when the crash happened? Ask yourself what caused the accident. Was reckless driving involved? What was the reckless driver doing?

For pdfFiller’s FAQs

What is Elevating Device Accident Report?

An Elevating Device Accident Report is a formal document that provides details about accidents involving elevating devices, such as elevators and escalators, to ensure safety and compliance with regulations.

Who is required to file Elevating Device Accident Report?

Typically, operators, owners, or service providers of the elevating devices are required to file the report whenever an accident occurs involving their equipment.

How to fill out Elevating Device Accident Report?

To fill out the report, individuals must provide specific details about the incident, including the date, time, location, parties involved, nature of the accident, and any injuries or damages incurred.

What is the purpose of Elevating Device Accident Report?

The purpose of the report is to document the incident for regulatory compliance, improve safety measures, and prevent future accidents related to elevating devices.

What information must be reported on Elevating Device Accident Report?

Essential information includes the date and time of the accident, location, description of the elevating device, details of the incident, parties involved, nature of any injuries, and any actions taken post-accident.