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This form is for documenting injuries that occur to non-employees for record-keeping purposes. It must be completed and submitted to the appropriate department based on the location of the incident.
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How to fill out non-employee injury report form
How to fill out NON-EMPLOYEE INJURY REPORT FORM
01
Obtain a copy of the NON-EMPLOYEE INJURY REPORT FORM.
02
Fill in the date and time of the incident at the top of the form.
03
Provide the name, address, and contact information of the injured non-employee.
04
Describe the nature of the injury and any visible symptoms.
05
Include details of the incident such as the location, what occurred, and any equipment or objects involved.
06
List any witnesses to the incident with their contact information.
07
Document any actions taken immediately after the injury, including first aid administered.
08
Sign and date the completed form to verify the accuracy of the information provided.
09
Submit the form to the designated supervisor or HR department as required by company policy.
Who needs NON-EMPLOYEE INJURY REPORT FORM?
01
Employers or businesses that have non-employees, such as visitors or clients, present on their premises.
02
Organizations that are required to maintain records of non-employee injuries for liability and insurance purposes.
03
Safety officers and HR personnel responsible for workplace injury documentation and reporting.
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What is NON-EMPLOYEE INJURY REPORT FORM?
The NON-EMPLOYEE INJURY REPORT FORM is a document used to document and report injuries that occur to individuals who are not employees of the organization, such as visitors or contractors, while they are on the organization's premises.
Who is required to file NON-EMPLOYEE INJURY REPORT FORM?
Generally, any employee who witnesses or is informed of a non-employee injury occurring on company premises or during company operations is required to file the NON-EMPLOYEE INJURY REPORT FORM, as well as the injured non-employee if they are able.
How to fill out NON-EMPLOYEE INJURY REPORT FORM?
To fill out the NON-EMPLOYEE INJURY REPORT FORM, include details such as the date and time of the incident, location, a description of the injury, the circumstances surrounding the incident, and contact information for the injured individual and any witnesses.
What is the purpose of NON-EMPLOYEE INJURY REPORT FORM?
The purpose of the NON-EMPLOYEE INJURY REPORT FORM is to document the incident thoroughly for legal reasons, assist in investigations and claims, ensure compliance with health and safety regulations, and facilitate the implementation of measures to prevent future incidents.
What information must be reported on NON-EMPLOYEE INJURY REPORT FORM?
The information that must be reported includes the identity of the injured party, nature of the injury, date and time of the incident, location of the incident, descriptions of how the injury occurred, any medical treatment provided, and details of any witnesses.
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