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Madison Employee Accident/Incident Report GENERAL INFORMATION Date of incident: Time of incident: Exact location of incident (e.g. Address, lot #, building name/number, specific location within building,
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How to fill out uw-madison non-employee accidentincident report

01
To fill out the UW-Madison Non-Employee Accident/Incident Report, follow these steps:
02
Begin by providing the date and time of the accident/incident.
03
Enter the location where the accident/incident occurred.
04
Specify the type of accident/incident, such as slip and fall, equipment malfunction, or other.
05
Include a detailed description of what happened, including any contributing factors.
06
Provide the names and contact information of any witnesses present during the accident/incident.
07
If applicable, provide information about any medical treatment received.
08
Attach any relevant documents or photographs that support your report.
09
Finally, sign and date the report to acknowledge its accuracy and completeness.

Who needs uw-madison non-employee accidentincident report?

01
The UW-Madison Non-Employee Accident/Incident Report is required for any non-employee who experiences or witnesses an accident or incident on UW-Madison premises. This includes contractors, visitors, and volunteers.
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UW-Madison non-employee accident/incident report is a form used to document and report any accidents or incidents involving individuals who are not employees of the University.
Any UW-Madison student, visitor, volunteer, or contractor who is involved in an accident or incident on university property or during university activities is required to file the report.
The report can be filled out online on the UW-Madison website or a paper form can be obtained from the Risk Management department. The individual involved in the accident or incident must provide all necessary details and information.
The purpose of the report is to document the details of accidents or incidents, identify any safety hazards, implement corrective actions, and prevent similar incidents in the future.
The report must include details of the accident or incident, injuries sustained, witnesses, location, date and time, and any other relevant information.
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