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NONMEDICAL INCIDENT REPORT Date: FIRST Event: Name of person reporting incident: Position: Contact Info: INCIDENT INFORMATION Complainant Name: Address: Phone: City: State: Zip: email: Date of incident:

How to fill out non-medical incident report

How to fill out a non-medical incident report:

1. Begin by clearly documenting the date and time of the incident. This information is crucial for tracking and investigating the incident properly.
2. Provide a detailed description of the incident. Include all relevant facts such as the location, individuals involved, any witnesses, and a step-by-step account of what happened. Be as objective as possible and avoid speculation or personal opinions.
3. Document any injuries or property damage resulting from the incident. Include information on the extent of the injuries, any medical treatment required, or the value of the damaged property.
4. If applicable, provide any additional relevant information such as weather conditions, equipment used, or any other factors that may have contributed to the incident.
5. Identify any immediate actions taken to address the incident. This may include first aid administered, contacting authorities, or implementing safety measures to prevent further incidents.
6. Include contact information of those involved or witnesses, if available. This allows for further investigation or clarification if necessary.
7. Sign and date the incident report, indicating your role and responsibility in completing it accurately. This signature signifies that the information provided is true and accurate to the best of your knowledge.

Who needs a non-medical incident report?

A non-medical incident report is typically required by organizations, companies, or institutions to record and investigate any incidents that occur within their premises or involving their personnel. This may include workplaces, schools, public places, or events. The purpose of this report is to ensure transparency, accountability, and to facilitate corrective actions to prevent similar incidents in the future. It is usually mandatory for employees, supervisors, or designated personnel to complete and submit incident reports promptly after an incident occurs.

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