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For Environment, Health & Safety Use Only Brock University Injury/Incident Report Date of Injury/Incident (D/M/BY) Time of Injury/Incident H:MM am pm Last Name Acc. Ref. #: Classification: Cm Hath
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How to fill out injurybincidentb report - brock

How to fill out an injury/incident report - Brock:
Begin by providing personal information:
01
Fill out your full name, job title, and contact information.
02
Include the date and time of the incident.
Describe the incident:
01
Clearly explain what happened, including any relevant details such as locations or individuals involved.
02
Use objective language and avoid speculation or assumptions.
Provide information on the injured party:
01
If applicable, provide the full name, contact information, and job title of the person who was injured.
02
Specify any visible injuries or symptoms they are experiencing.
Note any witnesses or other individuals present:
01
Write down the names and contact information of any witnesses who observed the incident.
02
Include the names and roles of any employees or supervisors who were present at the time.
Detail any actions taken immediately after the incident:
01
If first aid was administered, provide a description of the actions taken.
02
Specify if any emergency services were called or additional assistance was required.
Provide a description of the injuries or damages:
01
Describe the nature and extent of the injuries sustained or damage caused.
02
Include any medical treatment received or required.
Gather supporting documentation:
01
Attach any photographs, diagrams, or other evidence related to the incident.
02
Include copies of any medical reports or bills associated with the injuries.
Who needs an injury/incident report - Brock?
Employers:
01
Employers need an injury/incident report to properly document workplace accidents or incidents.
02
It helps them identify potential hazards, improve safety measures, and fulfill legal requirements.
Employees:
01
Employees involved in an injury or incident need to report it to ensure that proper care is provided and any necessary claims or compensation can be sought.
02
Reporting incidents also helps promote a safe working environment for themselves and their colleagues.
Insurance providers and legal authorities:
01
Injury/incident reports are often required by insurance providers to process claims accurately.
02
Legal authorities may also need access to incident reports for investigation or enforcement purposes.
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What is injury/incident report - brock?
An injury/incident report is a document used to record details of any accidents or injuries that occur in the workplace.
Who is required to file injury/incident report - brock?
Employees who witness or are involved in an accident or injury are required to file the injury/incident report.
How to fill out injury/incident report - brock?
To fill out an injury/incident report, employees need to provide details such as date, time, location, description of the incident, and any witnesses.
What is the purpose of injury/incident report - brock?
The purpose of the injury/incident report is to document accidents and injuries, investigate the cause, and prevent future incidents.
What information must be reported on injury/incident report - brock?
The injury/incident report must include details such as name of injured person, date and time of incident, location, description of incident, witnesses, and any treatment provided.
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