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DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stron9er ArizonaDIVISION OF DEVELOPMENTAL DISABILITIES Sent on Behalf of DES/NEW INCIDENT REPORT FORM IMPLEMENTATION DATE UPDATE Target Audience
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How to fill out new incident report form

01
Start by collecting all relevant information including date, time, and location of the incident.
02
Describe in detail what happened and the circumstances leading up to the incident.
03
Include names and contact information of any witnesses or individuals involved.
04
Document any injuries or damages resulting from the incident.
05
Fill out the necessary sections of the incident report form accurately and completely.
06
Review the information provided for accuracy before submitting the completed form.

Who needs new incident report form?

01
Employees who have witnessed or been involved in an incident at the workplace.
02
Employers or supervisors who need to document and investigate workplace incidents.
03
Legal or regulatory authorities who require incident reports for compliance purposes.
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The new incident report form is a document used to report any new incidents or accidents that occur within a certain organization.
Employees, supervisors, or other individuals who witness or are involved in an incident are required to file the new incident report form.
The new incident report form is typically completed by providing details of the incident including date, time, location, persons involved, and a description of what occurred.
The purpose of the new incident report form is to document and investigate incidents in order to prevent them from happening again in the future.
Information that must be reported on the new incident report form includes details of the incident, injuries sustained, property damage, and any actions taken in response to the incident.
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