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FORM 11 ACCIDENT BOOK EMPLOYEES\' STATE INSURANCE CORPORATION (Regulation 66)12345Shift, department and Occupation of the employeeInsurance No. AgeSexName and Address of Injured Percentile of Notice
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How to fill out form -11 accident book
How to fill out form -11 accident book
01
To fill out form-11 accident book, follow the steps below:
02
Begin by recording the date the accident occurred.
03
Provide details about the injured party, including their name, contact information, and occupation.
04
Specify the location where the accident took place.
05
Describe the nature of the accident, including how it occurred and any contributing factors.
06
Provide a clear and concise account of the injuries sustained.
07
Mention any medical treatment administered or required as a result of the accident.
08
If any witnesses were present, record their names and contact information.
09
Finally, ensure that the form is signed and dated by the person responsible for completing it.
10
Remember to provide accurate and factual information while filling out the form.
11
Always keep a copy of the completed form for your records.
Who needs form -11 accident book?
01
Form-11 accident book is typically needed by organizations and employers to record and document any accidents that occur in the workplace.
02
It is essential for compliance with health and safety regulations and helps to maintain a record of accidents for legal and insurance purposes.
03
Employees, supervisors, safety officers, and other relevant personnel may need access to the form to report and investigate accidents.
04
Additionally, insurance companies and regulatory authorities may require the submission of form-11 accident book in certain cases.
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What is form -11 accident book?
Form -11 accident book is a document used to record details of workplace accidents or incidents.
Who is required to file form -11 accident book?
Employers are required to file form -11 accident book.
How to fill out form -11 accident book?
Form -11 accident book should be filled out with details of the accident, including date, time, location, individuals involved, injuries sustained, and any corrective actions taken.
What is the purpose of form -11 accident book?
The purpose of form -11 accident book is to document workplace accidents or incidents for record-keeping and possible investigation.
What information must be reported on form -11 accident book?
Information such as date, time, location, individuals involved, injuries sustained, and corrective actions taken must be reported on form -11 accident book.
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