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Call MedCor at 1-800-775-5866. 24 hours/7 days a week For life threatening injuries call 911 then call MedCor within 24 hours. All forms should be submitted to the Risk Management Office within 24 hours. Updated 5-8-17. Incident with Accident or Injury Patron Location of incident name of building park etc. Location room/location specifics room hall area of park etc. Program or activity involved in Date of incident Name of injured Phone Number Street Address City Age If minor name of...
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How to fill out safety incident report

How to fill out safety incident report
01
Step 1: Start by gathering all relevant information about the safety incident, such as date, time, location, and people involved.
02
Step 2: Clearly document what happened, including a detailed description of the incident and any contributing factors.
03
Step 3: Use objective language and avoid including personal opinions or assumptions in the report.
04
Step 4: Include any witness statements or supporting documentation that may be helpful in understanding the incident.
05
Step 5: Identify any injuries or damages resulting from the incident and provide any necessary medical or repair records.
06
Step 6: Follow your organization's specific reporting procedures and guidelines for submitting the safety incident report.
07
Step 7: Double-check the report for accuracy and completeness before submitting it.
08
Step 8: Keep a copy of the report for your records and provide any additional information or updates as needed.
Who needs safety incident report?
01
Employers: Employers need safety incident reports to maintain workplace safety, investigate accidents, and make necessary improvements to prevent future incidents.
02
Employees: Employees who witness or are involved in safety incidents need to file reports to ensure proper documentation and to request any relevant support or compensation.
03
Regulatory Agencies: Government agencies and regulatory bodies may require safety incident reports to monitor compliance with safety regulations and identify trends or areas for improvement.
04
Insurance Companies: Insurance companies often require safety incident reports to process claims related to workplace accidents or injuries.
05
Legal Authorities: Safety incident reports can be used as evidence in any legal proceedings related to the incident, so legal authorities may require these reports.
06
Auditors and Inspectors: External auditors or safety inspectors may request safety incident reports as part of their assessments to ensure compliance and adherence to safety standards.
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