Get the free UNMC INCIDENT REPORT 01-2013 - unmc

UNIVERSITY OF NEBRASKA MEDICAL CENTER PLEASE COMPLETE ALL APPLICABLE SECTIONS CONFIDENTIAL REPORT OF OCCURRENCE Name Address A DOB Location where incident occurred Employee personnel # MEDICAL CENTER

How to fill out unmc incident report 01-2013

1. To fill out the UNMC incident report 01-2013, start by providing your personal information such as your name, employee ID (if applicable), department, and contact information. This information helps identify you as the person filling out the report.
2. Next, provide the date and time of the incident. Be as specific as possible when filling out this section to ensure accuracy in recording the incident details.
3. Provide a brief and concise description of the incident. Explain what happened, where it occurred, and any other relevant details. Use objective language and avoid including personal opinions or interpretations.
4. If there were any witnesses to the incident, include their names and contact information. Witnesses can provide additional information or support your account of the incident.
5. Indicate whether there were any injuries as a result of the incident. If there were injuries, provide a detailed description of the nature and severity of each injury.
6. If any property damage occurred, describe the extent of the damage and provide an estimated value if possible. Include any relevant details such as the type of property damaged and its location.
7. Identify any contributing factors or potential causes of the incident. This may include equipment malfunctions, inadequate training, or other factors that may have played a role in the incident.
8. After completing the incident report, review it carefully for any errors or missing information. Make sure all sections are properly filled out before submitting it to the appropriate department or personnel.

Who needs the UNMC incident report 01-2013?

The UNMC incident report 01-2013 is required for anyone who has witnessed or been involved in an incident that occurred within the UNMC organization. This includes employees, students, volunteers, and visitors. Filling out the incident report allows for the documentation and investigation of the incident, ensuring that appropriate actions can be taken to prevent similar incidents in the future. The incident report is an essential tool in maintaining a safe and secure environment within the UNMC community.

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What is unmc incident report 01?

UNMC incident report 01 is a form used to document and report any incidents, accidents, or near-misses that occur at the University of Nebraska Medical Center.

Who is required to file unmc incident report 01?

All employees and individuals affiliated with UNMC are required to file an incident report if they witness or are involved in an incident.

How to fill out unmc incident report 01?

To fill out UNMC incident report 01, individuals must provide details about the incident, including the date, time, location, individuals involved, witnesses, and a description of what happened.

What is the purpose of unmc incident report 01?

The purpose of UNMC incident report 01 is to document incidents, accidents, or near-misses in order to identify trends, prevent future incidents, and ensure the safety of everyone at UNMC.

What information must be reported on unmc incident report 01?

Information that must be reported on UNMC incident report 01 includes details about the incident, individuals involved, witnesses, and any actions taken following the incident.