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8 S an m p l e i n j u Ry r e p o r t f o r m This sample injury report form can be modified for your sport. For more information on injury reporting, contact: The Injury Prevention Research Unit,

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What is sample injury report form?

The sample injury report form is a document used to report details of an injury incident.

Who is required to file sample injury report form?

Both the injured party and the employer are required to file the sample injury report form.

How to fill out sample injury report form?

To fill out the sample injury report form, you need to provide information about the injured person, the incident, and any witnesses. You may also need to include details about the medical treatment received.

What is the purpose of sample injury report form?

The purpose of the sample injury report form is to document and report workplace injuries for record-keeping and potential legal purposes.

What information must be reported on sample injury report form?

The sample injury report form generally requires information such as the date and time of the incident, location, nature of the injury, and a description of how it occurred.

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