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City of Miami General Safety Manual Appendix/Forms Accident Investigation Form ACCIDENT INVESTIGATION FORM Accident Category: EXPOSURE TO HAZARDOUS SUBSTANCES PROPERTY DAMAGE INJURY NON-INJURY ILLNESS
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How to fill out accident investigation form

How to fill out accident investigation form:
01
Begin by entering the date and time of the accident in the designated fields.
02
Provide details about the location of the accident, including the specific address or area.
03
Identify the individuals involved in the accident, including any employees, witnesses, or other parties.
04
Describe the sequence of events leading up to the accident, highlighting any specific actions or conditions.
05
Document any possible contributing factors, such as equipment malfunctions or environmental hazards.
06
Include a section for any injuries sustained during the accident and provide a description of each injury.
07
Provide space to record any immediate actions taken after the accident, such as first aid administered or emergency services contacted.
08
Lastly, include a section for any additional comments or recommendations for preventing future accidents.
Who needs accident investigation form:
01
Employers who are required to maintain a safe work environment and investigate accidents that occur on their premises.
02
Insurance companies or legal representatives may also require accident investigation forms to assess liability or determine compensation for injuries sustained.
03
Safety inspectors or regulatory agencies may request accident investigation reports to ensure compliance with health and safety standards.
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What is accident investigation form?
Accident investigation form is a document used to report and analyze workplace accidents or incidents.
Who is required to file accident investigation form?
Employers are generally required to file accident investigation forms.
How to fill out accident investigation form?
Accident investigation forms can be filled out by providing details of the accident, including date, time, location, description, witnesses, and any contributing factors.
What is the purpose of accident investigation form?
The purpose of accident investigation forms is to identify the causes of accidents, prevent future incidents, and ensure compliance with safety regulations.
What information must be reported on accident investigation form?
Accident investigation forms typically require information such as date, time, location, description of incident, names of involved parties, witnesses, and any contributing factors.
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