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SUNY Cobleskill Report of Accident or Injury 2019-2025 free printable template

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SUN NOBLESVILLE REPORT OF ACCIDENT OR INJURY Based on State University of New York form CS13 C2128681 Campus 28 Date and Time of Incident: MM DD YYY Time DID the incident involve personal injury:
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How to fill out SUNY Cobleskill Report of Accident or Injury

01
Obtain the SUNY Cobleskill Report of Accident or Injury form from the designated office or online.
02
Fill out your personal information at the top of the form, including your name, contact information, and date of the incident.
03
Provide details of the accident or injury, including the date, time, and exact location where it occurred.
04
Describe the nature of the accident or injury in detail, including what happened and any contributing factors.
05
List any witnesses to the incident, including their names and contact information.
06
Include any immediate actions taken after the incident, such as first aid provided or emergency services contacted.
07
Sign and date the form to verify that the information provided is accurate to the best of your knowledge.
08
Submit the completed form to the appropriate department as indicated in the instructions.

Who needs SUNY Cobleskill Report of Accident or Injury?

01
Any student, faculty, or staff member who experiences an accident or injury on campus or during a university-sponsored activity.
02
Individuals who witness an accident involving others on campus.
03
Anyone who needs to document an incident for record-keeping or insurance purposes.
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The SUNY Cobleskill Report of Accident or Injury is a formal document used to record details of any accidents or injuries that occur on campus to ensure proper documentation and follow-up.
Anyone who witnesses or is involved in an accident or injury on campus is required to file the SUNY Cobleskill Report of Accident or Injury.
To fill out the SUNY Cobleskill Report of Accident or Injury, individuals must provide detailed information about the incident, including date, time, location, individuals involved, and a description of what occurred.
The purpose of the SUNY Cobleskill Report of Accident or Injury is to document incidents for safety analysis, to facilitate follow-up actions, and to improve campus safety protocols.
The reported information must include the names of individuals involved, contact information, a detailed description of the accident or injury, the circumstances leading to the incident, and any witnesses present.
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