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Facility Name:FSI Fall Scene Investigation ReportResident Name: Med. Rec. # Room # Date of Fall Time of Fall: AM / PM Admit Date: Staff / Witness present at / or finding resident after fall: 1. Factors
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How to fill out fall scene investigation report

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How to fill out fall scene investigation report

01
Start by collecting important information about the fall scene such as the date, time, and location of the incident.
02
Interview the person who fell and any witnesses to gather their accounts of what happened.
03
Take photographs of the scene, including any hazards or conditions that may have contributed to the fall.
04
Measure and document any factors that could have influenced the fall, such as lighting, surface conditions, or presence of any obstacles.
05
Make note of any signs of negligence or safety violations that may have played a role in the incident.
06
Include a detailed description of the injuries sustained by the individual who fell.
07
Summarize your findings and provide recommendations for prevention of similar incidents in the future.
08
Ensure the report is accurate, objective, and includes all necessary supporting documentation.
09
Review the report for completeness and clarity before submitting it to the appropriate authorities or stakeholders.
10
Keep a copy of the report for your records.

Who needs fall scene investigation report?

01
Fall scene investigation reports are typically required by various stakeholders including:
02
- Insurance companies to evaluate liability and claims.
03
- Legal professionals involved in potential lawsuits.
04
- Employers or property owners to assess safety measures and potential corrective actions.
05
- Occupational health and safety agencies for regulatory compliance.
06
- Medical professionals for evaluation and treatment purposes.
07
- Researchers or academics studying fall-related incidents and prevention strategies.
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Fall scene investigation report is a document that details the circumstances surrounding a fall incident, including the conditions that may have contributed to the fall.
Any organization or individual responsible for a property where a fall incident occurred is required to file a fall scene investigation report.
Fill out the fall scene investigation report by providing detailed information about the fall incident, including the date, time, location, and possible contributing factors.
The purpose of fall scene investigation report is to identify potential hazards and prevent similar falls from occurring in the future.
Information that must be reported on fall scene investigation report includes details about the fall victim, witnesses, environmental conditions, and any safety measures in place.
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