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Customer/Employee Accident / Incident Report Form (Please type or print legibly) Date of Incident: Time: (am / pm)Store Location: Employee completing report: Name of injured person: Address: Phone
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How to fill out customer-employee accident formdoc

01
To fill out the customer-employee accident formdoc, follow these steps:
02
Obtain a copy of the customer-employee accident formdoc.
03
Fill in the date and time of the accident.
04
Provide details of the accident, including the location and cause.
05
Include the names of the customer and employee involved.
06
Describe any injuries sustained and the medical treatment received, if applicable.
07
Indicate if any witnesses were present and provide their contact information.
08
If necessary, attach any supporting documents such as medical reports or photographs.
09
Review the form for accuracy and completeness.
10
Sign the form and ensure all parties involved also sign their sections.
11
Submit the completed form to the appropriate personnel or department.

Who needs customer-employee accident formdoc?

01
The customer-employee accident formdoc is needed by:
02
- Any business or organization that interacts with customers and has employees.
03
- Companies that want to record and document accidents involving customers and employees.
04
- Insurance companies or legal authorities that may require such documentation for claims or investigations.
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Customer-employee accident formdoc is a document used to report accidents or incidents involving customers and employees.
Employers or business owners are required to file the customer-employee accident formdoc.
The form must be completed with details of the accident, including date, time, location, and descriptions of injuries.
The purpose of the form is to document accidents for regulatory and insurance purposes.
Information such as names of individuals involved, witness statements, and any medical treatment received must be reported on the form.
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