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FALL INVESTIGATION REPORT Resident Name: Age: Room #: Date/Time of Fall: Resident Medical Diagnoses: NURSING REVIEW: Does resident have a history of falls? YES NO Previous fall dates: Does resident
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How to fill out fall investigation report

How to fill out fall investigation report
01
Start by gathering all the necessary information about the fall incident, such as the date, time, and location of the fall.
02
Interview any witnesses to the fall incident to gather their accounts of what happened.
03
Document the injuries sustained by the individual who fell, including any visible marks, bruises, or fractures.
04
Take photographs of the scene where the fall occurred, capturing any potential hazards or factors that may have contributed to the fall.
05
Review any available surveillance footage or incident reports related to the fall incident.
06
Complete a detailed narrative of the events leading up to, during, and following the fall, including any actions taken by both the individual who fell and any other parties involved.
07
Identify any potential contributing factors to the fall, such as slippery surfaces, inadequate lighting, or faulty equipment.
08
Implement measures to prevent future falls based on the findings of the investigation.
09
Ensure that the fall investigation report is reviewed by appropriate personnel, such as supervisors or safety officers, before finalizing and distributing it.
10
Store the completed fall investigation report in a secure location for future reference.
Who needs fall investigation report?
01
Employers and managers who are responsible for workplace safety and want to prevent future fall incidents.
02
Safety officers or health and safety committees who are tasked with identifying and addressing potential hazards in the workplace.
03
Government regulatory agencies or auditors who may require fall investigation reports as part of compliance audits.
04
Insurance companies or legal representatives who may need fall investigation reports for claims or litigation purposes.
05
Healthcare professionals who are treating the individual who fell and require a comprehensive understanding of the incident and its impact on the individual's health.
06
Individuals involved in the fall incident, such as the person who fell or witnesses, who may need the report to support their claims or provide evidence in legal proceedings.
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What is fall investigation report?
Fall investigation report is a detailed document that outlines the circumstances surrounding a fall incident in the workplace.
Who is required to file fall investigation report?
Employers are required to file fall investigation reports when a fall incident occurs in the workplace.
How to fill out fall investigation report?
Fill out the fall investigation report by collecting information about the fall incident, including details of the location, date, time, and individuals involved.
What is the purpose of fall investigation report?
The purpose of the fall investigation report is to analyze the cause of the fall incident, identify any contributing factors, and implement measures to prevent future incidents.
What information must be reported on fall investigation report?
Information such as the date, time, location, individuals involved, description of the incident, witness statements, and remedial actions taken must be included in the fall investigation report.
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