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REPORT OF INCIDENT/ACCIDENT TODAYS DATE: RIG #/LOCATION: PERSON INVOLVED: SUPERVISOR: DESCRIPTION OF INCIDENT/ACCIDENT: (PRINT CLEARLY IN INK) INCIDENT TYPE: (MARK ALL THAT APPLY) INJURY SECURITY/THEFT
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How to fill out a report of incident/accident:

01
Start by providing your personal information: Begin the report by entering your full name, employee or student number, department or unit, and contact information. This will help identify you as the author of the report.
02
Date and time of the incident: Specify the exact date and time when the incident or accident occurred. This will help establish a chronological record of events.
03
Location of the incident: Indicate the specific location where the incident took place. Include relevant details such as the building, floor, room number, or any other identifying information.
04
Description of the incident: Provide a detailed account of what happened during the incident or accident. Include information about any individuals involved, any witnesses present, and any relevant actions that were taken. Be objective and avoid personal opinions or assumptions.
05
Circumstances leading up to the incident: Explain the events or factors that led to the incident. Include any details about the environment, equipment, procedures, or any other relevant factors that may have contributed to the incident.
06
Injuries or damages: Document any injuries sustained by individuals involved in the incident, as well as any damages to property or equipment. Be specific and provide details about the severity of the injuries or the extent of the damages.
07
Supporting evidence: If available, include any supporting evidence such as photographs, videos, or audio recordings that may help further explain the incident. Make sure to describe the evidence and how it relates to the incident.
08
Actions taken: Describe the immediate actions taken to address the incident, such as administering first aid, contacting emergency services, or securing the area. Also, mention any subsequent actions that were taken to prevent similar incidents from occurring in the future.

Who needs a report of incident/accident:

01
Employers or supervisors: In many workplaces, it is a legal requirement to report incidents or accidents to the employer or supervisor. They need the report to ensure that appropriate measures are taken to prevent future incidents and to comply with health and safety regulations.
02
Insurance companies: If the incident or accident involves an insurance claim, the insurance company will require a detailed report. The report helps them assess the situation, understand the liabilities, and provide appropriate coverage.
03
Legal authorities: Depending on the nature and severity of the incident, it may need to be reported to legal authorities such as the police, fire department, or occupational health and safety agencies. These authorities require the report to investigate the incident and determine any legal or regulatory implications.
04
Internal auditors or investigators: Some organizations have internal auditors or investigators who analyze incidents or accidents to identify trends, review existing policies and procedures, and recommend improvements. They need the report to perform their investigations effectively.
05
Employees or individuals involved: It is important for individuals involved in the incident, including witnesses or victims, to have a copy of the report. This helps them understand what happened, provides a record of the incident, and assists with any subsequent claims or legal actions.
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The report of incident/accident is a document that details any unexpected event or occurrence, such as an accident or injury, that occurred in a workplace or public space.
Employers, business owners, or individuals responsible for the safety of a workplace or public space are typically required to file a report of incident/accident.
The report of incident/accident is typically filled out by providing detailed information about the incident, including date, time, location, individuals involved, witnesses, and a description of what happened.
The purpose of the report of incident/accident is to document the details of an unexpected event or occurrence, to help prevent similar incidents in the future, and to ensure compliance with regulations and standards.
The report of incident/accident must include details such as the date, time, location, individuals involved, witnesses, description of the incident, and any actions taken in response.
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