Get the free Incident/Accident Investigation Form 703

State Office of Risk Management Incident/Accident Investigation Form 703 A. Employee Acclaim # (if known):Date of incident: Employee Name: Working Title: Employee Contact #: Supervisor Contact:Time:Hm.

How to fill out incidentaccident investigation form 703

How to fill out incidentaccident investigation form 703

1. Start by gathering all relevant information about the incident or accident, such as date, time, location, and people involved.
2. Identify the type of incident or accident, whether it is a workplace injury, property damage, or near miss.
3. Provide a detailed description of what happened, including any contributing factors or causes.
4. Interview witnesses or individuals directly involved to gather their statements and perspectives.
5. Collect any supporting evidence, such as photographs, videos, or documents.
6. Assess the severity of the incident or accident and the potential impacts.
7. Identify any immediate actions taken to address the incident or accident and prevent further harm.
8. Consider and document any recommendations for corrective actions or preventative measures.
9. Complete the investigation form by filling in all required fields accurately and legibly.
10. Review the completed form for any errors or missing information before submitting it for further review or filing.
11. Retain a copy of the incident/accident investigation form for record-keeping purposes.

Who needs incidentaccident investigation form 703?

1. Employers or organizations responsible for workplace safety and health management
2. Safety officers or supervisors
3. Employees or individuals involved in an incident or accident
4. Regulatory agencies or authorities

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What is incident/accident investigation form 703?

Incident/Accident Investigation Form 703 is a document used to report and investigate workplace incidents and accidents.

Who is required to file incident/accident investigation form 703?

Employers and supervisors are required to file incident/accident investigation Form 703.

How to fill out incident/accident investigation form 703?

To fill out incident/accident investigation form 703, provide detailed information about the incident or accident, including date, time, location, individuals involved, witnesses, and possible causes.

What is the purpose of incident/accident investigation form 703?

The purpose of incident/accident investigation Form 703 is to identify the causes of workplace incidents and accidents, prevent future occurrences, and ensure compliance with safety regulations.

What information must be reported on incident/accident investigation form 703?

Information such as date, time, location, individuals involved, witnesses, and possible causes must be reported on Incident/Accident Investigation Form 703.