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TUSCARORAS COUNTY HEALTH DEPARTMENTAPPENDIX 1 INITIAL ASSESSMENT FORMDOCUMENT DESCRIPTION This appendix contains the form for CHD response personnel to utilize when assessing an incident to determine

How to fill out initial incident assessment form

How to fill out initial incident assessment form

1. Start by gathering all the necessary information about the incident, such as date, time, and location.
2. Identify the parties involved in the incident, including any witnesses or individuals directly affected.
3. Determine the nature of the incident and describe it in detail. Include any relevant factors or circumstances leading up to the incident.
4. Evaluate the severity of the incident and assess the risk or potential harm caused.
5. Collect any supporting documents, evidence, or photographs that may be relevant to the incident.
6. Use a standardized incident assessment form to document all the information collected.
7. Fill out the incident assessment form in a clear and concise manner, providing all the requested information.
8. Review the completed form for accuracy and completeness before submitting it.
9. Store a copy of the completed incident assessment form for future reference or further investigation if needed.

Who needs initial incident assessment form?

1. Anyone responsible for managing or investigating incidents, such as safety officers, supervisors, or human resources personnel, may need to fill out an initial incident assessment form.

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