Get the free Reportable Incident Addendum Form - scoc ny

SCC Revised 323REPORTABLE INCIDENT ADDENDUMSelect Facility: ___Date Addendum Submitted: ___SCC Incident Number: ___Staff Name: ___ Change Incarcerated Individual DOB Update Incident Summary Change

How to fill out reportable incident addendum form

How to fill out reportable incident addendum form

1. Obtain the reportable incident addendum form from the appropriate department or supervisor.
2. Fill out the date and time of the incident in the designated fields.
3. Provide a detailed description of the incident, including what happened and who was involved.
4. Include any relevant information or details that may help in understanding the incident better.
5. Sign and date the form to certify that the information provided is accurate.
6. Submit the completed reportable incident addendum form to the designated recipient or department.

Who needs reportable incident addendum form?

1. Employees who have witnessed or been involved in a reportable incident.
2. Supervisors or managers responsible for documenting and reporting incidents in the workplace.
3. Human resources personnel who need to keep records of reportable incidents for compliance and safety purposes.

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What is reportable incident addendum form?

The reportable incident addendum form is a supplemental form used to provide additional information about a reportable incident.

Who is required to file reportable incident addendum form?

Any individual or organization involved in a reportable incident may be required to file the reportable incident addendum form.

How to fill out reportable incident addendum form?

The reportable incident addendum form should be completed with detailed information about the incident, including dates, times, locations, and any other relevant details.

What is the purpose of reportable incident addendum form?

The purpose of the reportable incident addendum form is to provide a more comprehensive overview of a reportable incident, helping to ensure that all relevant information is documented.

What information must be reported on reportable incident addendum form?

The reportable incident addendum form may require information such as incident details, parties involved, actions taken, and any other pertinent information.