Miami University Incident Report for Non-Occupational AccidentInjury free printable template
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Environmental Health & Safety Offices 164 Cole Service Building (513) 5292829Incident Report for Nonoccupational Accident/Injury Email report to: injury report Lister.Miami.edu Name: Daytime Phone
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How to fill out miami university incident report
How to fill out Miami University Incident Report for Non-Occupational Accident/Injury
01
Access the Miami University Incident Report form online or obtain a hard copy from the appropriate office.
02
Fill in your personal information, including your name, address, phone number, and email.
03
Provide details of the non-occupational accident/injury, including the date, time, and location of the incident.
04
Describe the nature of the injury and the circumstances surrounding the accident in detail.
05
Include any witnesses' names and contact information if applicable.
06
Sign and date the form to certify that the information provided is accurate.
07
Submit the completed report to the appropriate university office, either in person or via email.
Who needs Miami University Incident Report for Non-Occupational Accident/Injury?
01
Individuals who have been involved in a non-occupational accident or injury while on university property or during university-sponsored activities need to fill out the report.
02
This may include students, visitors, and faculty members who experience such incidents.
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What is Miami University Incident Report for Non-Occupational Accident/Injury?
The Miami University Incident Report for Non-Occupational Accident/Injury is a formal document used to record details of accidents or injuries that occur to individuals not engaged in occupational duties while on university property.
Who is required to file Miami University Incident Report for Non-Occupational Accident/Injury?
Any individual, including students, visitors, or employees who witness or are involved in a non-occupational accident or injury occurring on university property, is required to file a report.
How to fill out Miami University Incident Report for Non-Occupational Accident/Injury?
To fill out the report, one must provide specific information including the date and time of the incident, location, a description of the event, personal details of the injured party, and any witnesses. This information should be submitted to the appropriate university office.
What is the purpose of Miami University Incident Report for Non-Occupational Accident/Injury?
The purpose of the report is to document the incident for liability reasons, help in identifying safety issues, ensure proper medical attention is provided if needed, and to create a record for future reference.
What information must be reported on Miami University Incident Report for Non-Occupational Accident/Injury?
The information that must be reported includes the names and contact information of all parties involved, a detailed account of the incident, date, time, and location of the incident, as well as any medical treatment provided.
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