Get the free NON-EMPLOYEE INJURY/ILLNESS REPORT - as sdsu

EMPLOYEE INJURY/ILLNESS REPORT This form is to be completed when a nonemployee incurs an injury/illness at an A.S. event or within an A.S. facility. Please forward complete form to Human Resources

How to fill out non-employee injuryillness report

How to fill out non-employee injuryillness report

1. Gather all necessary information related to the non-employee injury or illness.
2. Access the non-employee injury/illness report form.
3. Complete the personal information section, including the name, contact details, and address of the injured/ill person.
4. Provide accurate details about the injury or illness, including the time and location it occurred.
5. Include a detailed description of how the injury or illness happened.
6. If there were any witnesses, provide their names and contact information.
7. Document any medical attention or treatment received by the injured/ill person.
8. Attach any supporting documents, such as medical reports or witness statements.
9. Review the completed form for accuracy and ensure all required fields are filled.
10. Submit the non-employee injury/illness report to the designated authority or department.

Who needs non-employee injuryillness report?

1. Employers who have non-employees working within their premises.
2. Organizations that want to maintain a record of non-employee injuries or illnesses for legal or administrative purposes.
3. Human resources departments responsible for workplace safety and incident reporting.
4. Insurance providers who require documentation of non-employee injuries or illnesses.
5. Government agencies or regulatory bodies overseeing workplace safety and health.

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What is non-employee injury/illness report?

Non-employee injury/illness report is a document used to report any injuries or illnesses that occur to individuals who are not employees of a company.

Who is required to file non-employee injury/illness report?

The individuals or organizations responsible for the location where the injury/illness occurred are required to file the non-employee injury/illness report.

How to fill out non-employee injury/illness report?

The non-employee injury/illness report can be filled out by providing details of the incident including the date, time, location, description of the injury/illness, and the contact information of the injured individual.

What is the purpose of non-employee injury/illness report?

The purpose of the non-employee injury/illness report is to document and track any injuries or illnesses that occur to individuals who are visiting or present at a workplace but are not employees.

What information must be reported on non-employee injury/illness report?

The non-employee injury/illness report must include details such as the date, time, location, description of the injury/illness, and contact information of the injured individual.