Get the free Non-Employee Incident / Injury Report Form - ttuhsc
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This form is used to report incidents or injuries involving non-employees at Texas Tech University Health Sciences Center. It collects personal information, details of the incident, and requires signatures
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How to fill out non-employee incident injury report
How to fill out Non-Employee Incident / Injury Report Form
01
Obtain the Non-Employee Incident / Injury Report Form from your supervisor or the HR department.
02
Fill in the date and time of the incident at the top of the form.
03
Provide the name, contact information, and address of the injured non-employee.
04
Describe the incident in detail, including what happened, where it occurred, and any witnesses present.
05
Indicate the type of injury sustained by the non-employee.
06
Document any first aid provided and the name of the person who administered it.
07
Sign and date the form to confirm the accuracy of the information provided.
08
Submit the completed form to your supervisor or the HR department for processing.
Who needs Non-Employee Incident / Injury Report Form?
01
Any organization that has non-employees on its premises, such as visitors, clients, or contractors, is required to have this form.
02
Employers must use this form to document incidents involving non-employees for legal, insurance, and safety record-keeping purposes.
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What is Non-Employee Incident / Injury Report Form?
The Non-Employee Incident / Injury Report Form is a document used to report any incidents or injuries that occur to individuals who are not employees of the organization, such as visitors, contractors, or vendors.
Who is required to file Non-Employee Incident / Injury Report Form?
The form is typically required to be filed by the employee or supervisor of the area where the incident occurred, and it may also be required to be filed by the individual who experienced the incident.
How to fill out Non-Employee Incident / Injury Report Form?
To fill out the form, the reporter should provide details such as the date and time of the incident, location, description of the incident, names of witnesses, and any injuries sustained. All fields should be completed accurately and clearly.
What is the purpose of Non-Employee Incident / Injury Report Form?
The purpose of the form is to document the details of the incident for record-keeping, to analyze the cause of the incident, and to initiate any necessary follow-up actions to prevent future occurrences.
What information must be reported on Non-Employee Incident / Injury Report Form?
The form must include the date and time of the incident, location, names and contact information of the injured party and any witnesses, a detailed description of the incident, and any remedial actions taken or required.
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