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CSU East Bay Incident/Accident Investigation Report EMPLOYEE DATA Employee Name: Sex: Employee (Department/Location:) Volunteer (Female Male Date of Hire:) StudentEmployee () Employee (hours/week
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How to fill out csu east bay incidentaccident
How to fill out CSU East Bay incident/accident form:
01
Obtain the incident/accident form from the CSU East Bay website or the appropriate department.
02
Fill out the date and time of the incident/accident in the designated sections.
03
Provide your personal information, including your full name, contact information, and student/employee ID.
04
Describe the incident or accident in detail, including the location and any witnesses present.
05
Indicate any injuries sustained or damages caused by the incident/accident.
06
If applicable, provide information about any medical treatment received or property damage incurred.
07
Attach any supporting documentation, such as photographs or medical reports, to strengthen your claim.
08
Sign the form to acknowledge the accuracy and truthfulness of the information provided.
09
Submit the completed incident/accident form to the appropriate department or individual responsible for handling such cases at CSU East Bay.
Who needs CSU East Bay incident/accident form?
01
CSU East Bay students who have been involved in or witnessed an incident/accident on campus.
02
CSU East Bay employees who have experienced or observed an incident/accident during their work-related activities.
03
Anyone who is seeking to report an incident/accident that occurred on CSU East Bay premises and requires official documentation for insurance claims, legal purposes, or administrative actions.
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What is csu east bay incident/accident?
CSU East Bay incident/accident refers to any unforeseen event or occurrence that results in harm, injury, damage, or loss within the campus premises.
Who is required to file csu east bay incident/accident?
Any staff, faculty, student, or visitor who witnesses or is involved in an incident/accident at CSU East Bay is required to file a report.
How to fill out csu east bay incident/accident?
To fill out a CSU East Bay incident/accident report, one must provide detailed information about the incident, including date, time, location, individuals involved, witnesses, and a description of what occurred.
What is the purpose of csu east bay incident/accident?
The purpose of CSU East Bay incident/accident reports is to document and investigate any incidents or accidents that occur on campus, in order to prevent future occurrences and ensure the safety of the campus community.
What information must be reported on csu east bay incident/accident?
Information that must be reported on a CSU East Bay incident/accident includes date, time, location, individuals involved, witnesses, description of the incident, and any resulting injuries or damages.
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