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INCIDENT REPORT FORM GENERAL DETAILS OF THE INJURED PERSON CIRCUMSTANCES OF THE ACCIDENT FULL NAME(Fully describe the events that led up to the accident)ADDRESSCONTACT TEL NO: PPS No. OCCUPATION (Required
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How to fill out incident report form

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How to fill out incident report form

01
Read the instructions carefully before you start filling out the incident report form.
02
Provide your personal details such as name, contact information, and position within the organization.
03
Include the date and time of the incident, along with the location where it occurred.
04
Give a detailed description of the incident, including what happened, who was involved, and any witnesses present.
05
If applicable, provide information about any injuries, damages, or losses incurred as a result of the incident.
06
Attach any supporting documents or evidence, such as photographs or witness statements.
07
Sign and date the incident report form to indicate its completion.
08
Submit the incident report form to the designated authority within the organization.

Who needs incident report form?

01
Employees who witness or are involved in an incident at the workplace.
02
Employers who want to maintain a record of all incidents that occur within their organization.
03
Human resources personnel who need to investigate and follow up on incidents reported by employees.
04
Safety officers or supervisors responsible for ensuring workplace safety and accident prevention.
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