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FacilitiesandSafetyServicesDepartment 4700ResearchWay Lakeland,Florida338058531 Phone:863.874.8426Fax:863.874.8715 safetyservices@floridapoly.eduNonEmployeeIncident/InjuryReport THEPURPOSEOFTHISREPORTistoprovideinformationwhichcanbeusedinpreventingsimilaraccidentsinthe
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How to fill out non-employee incidentinjury report

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How to fill out non-employee incidentinjury report

01
Obtain the non-employee incident/injury report form from the Human Resources department or safety officer.
02
Fill out the date and time of the incident.
03
Provide detailed information about the incident, including location, description of what happened, and any witnesses present.
04
Include information about the injured party, such as their name, contact information, and a description of the injury.
05
Indicate if medical treatment was provided or if the individual was taken to a medical facility.
06
Sign and date the form before submitting it to the appropriate department.

Who needs non-employee incidentinjury report?

01
Any individual or organization that experiences an incident or injury involving a non-employee, such as contractors, visitors, or customers, may need to fill out a non-employee incident/injury report.
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A non-employee incident injury report is a formal document used to document injuries or incidents involving individuals who are not employees of a company, such as visitors, contractors, or customers.
Typically, company representatives or supervisors are required to file a non-employee incident injury report when an incident occurs involving a non-employee.
To fill out a non-employee incident injury report, gather the necessary information about the incident, including details about the injured person, the nature of the injury, time and place of the incident, and any witnesses, then complete the report form with this information.
The purpose of a non-employee incident injury report is to document incidents for liability reasons, to track safety issues, and to comply with legal and regulatory requirements.
The report must include the date, time, and location of the incident, a description of the incident, contact information of the injured party and witnesses, and details of any injuries sustained.
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