Get the free FALL INVESTIGATION TOOL - Minnesota Department Health - health state mn

FALL INVESTIGATION TOOL All information below reflects what happened at the time of the incident Resident Name: Date: Time of Incident:

How to fill out fall investigation tool

How to fill out a fall investigation tool:

1. Start by gathering all relevant information about the incident. This may include the date and time of the fall, the location, and any witnesses present.
2. Begin filling out the fall investigation tool by providing the basic details about the person who fell. Include their name, age, and any relevant medical history or pre-existing conditions.
3. Describe the circumstances leading up to the fall. Include details such as what the person was doing at the time, any environmental factors that may have contributed to the fall (e.g., wet floor, poor lighting), and any equipment or objects involved.
4. Document the injuries sustained as a result of the fall. Be as specific as possible, noting any fractures, abrasions, or other visible injuries. If the person was taken to the hospital, include information about their treatment and any diagnoses made.
5. Include information about any immediate actions taken following the fall. This may include administering first aid, calling for medical assistance, or notifying a supervisor or manager.
6. Provide a space to record statements from any witnesses or individuals involved in the incident. Include their names, contact information, and a brief summary of what they observed.
7. Consider including a section for additional comments or notes. This can be used to capture any additional information that may be relevant to the investigation or future prevention efforts.

Who needs the fall investigation tool:

1. Anyone responsible for ensuring workplace safety and conducting investigations into accidents or incidents involving falls.
2. Occupational health and safety professionals who need to collect and analyze data on falls in order to identify trends, implement prevention measures, or comply with regulations.
3. Employers who are committed to creating a safe working environment and want to investigate and address any incidents involving falls.

Please note that the specific needs and requirements for a fall investigation tool may vary depending on the industry, workplace, and local regulations. It is important to customize the tool to fit the unique circumstances of each situation.

For pdfFiller’s FAQs

What is fall investigation tool?

Fall investigation tool is a document or form used to document and investigate incidents involving falls in the workplace.

Who is required to file fall investigation tool?

Employers or safety managers are typically required to file the fall investigation tool after a fall incident occurs in the workplace.

How to fill out fall investigation tool?

To fill out the fall investigation tool, individuals should provide detailed information about the fall incident, including date, time, location, individuals involved, and potential causes.

What is the purpose of fall investigation tool?

The purpose of the fall investigation tool is to analyze and prevent future falls in the workplace by identifying root causes and implementing corrective actions.

What information must be reported on fall investigation tool?

Information such as date and time of fall incident, location, individuals involved, witnesses, potential causes, and corrective actions taken must be reported on the fall investigation tool.

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