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FORM OF NOTIFICATION OF A DANGEROUS OCCURRENCE Approved under the Safety Health and Welfare at Work General Application Regulations 1993 Form No. IR3 Before completing this form please see instruction below S.I. 44 of 1993 EMPLOYER / SELF-EMPLOYED INFORMATION Name of business or company name Phone Number Address of head office Date of incident Address of establishment where incident took place if different from above Approximate number employed at establishment Approximate total number...
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What is dangerous occurrence form?
Dangerous occurrence form is a form used to report any incident, event, or situation that resulted in, or could have resulted in, a serious injury or death.
Who is required to file dangerous occurrence form?
Any individual, company, or organization that experienced a dangerous occurrence is required to file the dangerous occurrence form.
How to fill out dangerous occurrence form?
To fill out the dangerous occurrence form, you need to provide detailed information about the incident, including the date, time, location, description of the occurrence, and any actions taken to prevent further harm.
What is the purpose of dangerous occurrence form?
The purpose of the dangerous occurrence form is to ensure that incidents that could potentially cause serious harm are reported, investigated, and appropriate actions are taken to prevent similar occurrences in the future.
What information must be reported on dangerous occurrence form?
The dangerous occurrence form should include information such as the date, time, location, description of the occurrence, individuals involved, injuries sustained, actions taken, and any witnesses or evidence.
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