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HEALTH AND ACCIDENT REPORT To Be Completed Only By Store Manager FCW Local 1776 and Participating Employers Health and Welfare Fund 3031 B Walton Road Plymouth Meeting, PA 19462 Phone: (610) 9419400
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How to fill out health and accident report

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How to fill out a health and accident report:

01
Start by gathering all necessary information such as the date, time, and location of the accident, as well as the names and contact information of any witnesses.
02
Provide a detailed description of the accident, including the circumstances leading up to it and any contributing factors.
03
Clearly outline any injuries sustained, both visible and non-visible, and include any immediate medical treatment received.
04
If applicable, describe any damage to property or vehicles involved in the accident.
05
Review the report for accuracy and completeness before submitting it to the relevant party or authority.

Who needs a health and accident report:

01
Individuals who have been involved in an accident, whether it be a workplace incident, a motor vehicle collision, or any other situation resulting in injury, should complete a health and accident report.
02
Employers may also require employees to fill out a health and accident report in cases of on-the-job injuries or accidents.
03
Insurance companies may request a health and accident report as part of the claims process, in order to assess the extent of injuries and determine appropriate compensation.
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Health and accident report is a document that records details of any health-related incidents or accidents that occur within a certain organization or workplace.
Employers are usually required to file health and accident reports for any incidents that occur within their workplace.
Health and accident reports are usually filled out by providing details of the incident, including location, date and time, individuals involved, and any injuries sustained.
The purpose of health and accident report is to document and investigate any incidents to improve workplace safety and prevent future occurrences.
Information such as the date, time, location, individuals involved, injuries sustained, and any actions taken following the incident must be reported on the health and accident report.
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