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Employee Incident/Accident Foremost be completed within 48 hours of Incident/Accident Revised 09/20/17HR OFFICE USE ONLY/CLAIM # EMPLOYEE SECTION Name Job Title Bargaining Group Time of Incident Work
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How to fill out employee incidentaccident form
How to fill out employee incidentaccident form
01
To fill out an employee incident/accident form, follow these steps:
02
Start by entering the date and time of the incident/accident.
03
Provide details of the employee involved, including name, employee ID, and job title.
04
Describe the nature of the incident/accident and provide a clear explanation of what happened.
05
Indicate the location of the incident/accident and any relevant hazards present.
06
Identify any witnesses present and record their contact information.
07
Include a section to document any injuries sustained by the employee, including the type of injury and its severity.
08
If applicable, note any medical treatment provided or required.
09
Remember to capture any damage to property or equipment as a result of the incident/accident.
10
The form should also provide space to gather any additional comments or relevant information.
11
Finally, make sure to date and sign the form, indicating the person responsible for completing it.
Who needs employee incidentaccident form?
01
The employee incident/accident form is needed by employers, HR departments, and supervisors to properly document and report any workplace incidents or accidents involving employees. It helps ensure compliance with occupational health and safety regulations, facilitates injury and accident investigations, and allows for the appropriate handling of workers' compensation claims.
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