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Get the free Fireworks IncidentInjury Report - NHgov - nh

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NEW HAMPSHIRE DEPARTMENT OF SAFETY DIVISION OF FIRE SAFETY OFFICE OF THE STATE FIRE MARSHAL J. William Began, State Fire Marshal FIREWORKS INJURY / FIRE REPORT SECTION A REPORTING AGENCY INFORMATION
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How to fill out fireworks incident injury report:

01
Start by providing your personal information such as your name, contact details, and any relevant identification numbers.
02
Specify the date and time of the incident, along with the location where it occurred. Be as detailed as possible to ensure accuracy.
03
Describe the nature of the incident, including what type of fireworks were involved and any specific details about how the injury occurred.
04
Provide details about any witnesses who were present during the incident. Include their names, contact information, and a brief description of their account of what happened.
05
If applicable, include information about any medical treatment received as a result of the injury. Include the names of healthcare providers, the facilities visited, and any medications or procedures administered.
06
Lastly, include any additional information or comments that may be relevant to the incident or the injury report.

Who needs fireworks incident injury report:

01
Individuals injured during a fireworks incident and seeking medical or legal assistance may need to fill out an incident injury report.
02
Fireworks event organizers or property owners where the incident took place may need a copy of the report for insurance or legal purposes.
03
Law enforcement agencies or emergency responders may request an incident injury report to gather information and assess the situation.
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Fireworks incident injury report is a document that must be filled out whenever there is an injury related to fireworks, detailing the circumstances and nature of the injury.
Any individual, organization, or company that is involved in a fireworks-related incident resulting in injury is required to file the report.
The report should be filled out with details of the incident, including date, time, location, nature of injury, and any other relevant information. It is important to be as detailed and accurate as possible.
The purpose of the report is to document and analyze fireworks-related injuries, in order to improve safety measures and prevent future incidents.
Information such as date, time, location, nature of injury, names of individuals involved, and any contributing factors must be reported.
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