Get the free electrical witness statement form - lni wa

Department of Labor and Industries Electrical Licensing Certification PO Box 44460 Olympia WA 98504-4460 www. Lni. wa.gov/scs/electrical ELECTRICAL INSPECTION WITNESS STATEMENT RESET Please answer as many of the questions below as you can. Although you may not be able to answer all the questions any information you can supply will help us with our investigation. You may attach an extra sheet if needed. Name Mailing Address City State Zip Code Telephone Number Location of electrical work done...

How to fill out electrical witness statement form

How to fill out an electrical witness statement form?

1. Start by carefully reading the instructions provided on the form. Make sure you understand the purpose and requirements of the witness statement.
2. Begin by entering your personal information. This typically includes your full name, contact details, and any relevant identification numbers.
3. Provide a detailed description of the incident or event that requires a witness statement. Include specific dates, times, and locations, as well as any important details or circumstances surrounding the incident.
4. Clearly identify yourself as the witness and state your relationship to the incident if applicable. For example, mention if you were present at the time or if you have any relevant expertise or qualifications.
5. Write down a factual and objective account of what you witnessed. Be concise and specific, providing details of what you saw, heard, or experienced. Avoid adding personal opinions or assumptions.
6. If there were other witnesses present, mention their names and contact information, if available. Their statements may also be required to support your testimony.
7. Sign and date the witness statement form to acknowledge that the information provided is true and accurate to the best of your knowledge.

Who needs an electrical witness statement form?

1. Individuals involved in an electrical accident or incident may require an electrical witness statement form. This can include the injured party, witnesses to the incident, or individuals responsible for investigating the incident.
2. Professionals such as electricians, electrical contractors, or technicians who were present during an electrical incident and can provide relevant information or expertise may also need to fill out an electrical witness statement form.
3. Employers or supervisors who are responsible for the safety and maintenance of electrical systems may need to complete a witness statement form if an accident or incident occurs within their premises.

Remember, it is always advisable to consult with legal or professional experts familiar with your specific circumstances to ensure accuracy and compliance with any legal or regulatory requirements.

Instructions and Help about electrical witness statement form

Okay yeah Mr. Doyle, and thank you for agreeing to see me um you phoned into our incident hotline this morning saying that you'd witnessed an incident yeah you just tell me yeah tell me what you saw yeah like it was Tuesday, and I was walking down the road walking the dog and a man pulled up in a van and got out of the van and started loading things on the side of the road and things like there was a tire bit of cardboard right okay let's let's just let's just sort of backtrack a little so um you were saying at Tuesday yeah, so it's Thursday today we're talking yeah the dead leaf yeah the day before yesterday yeah, so we're talking that with the 27th yeah okay, and you were walking the dog yeah where were you where were you walking, and we were just walking down hollandaise road I walk down memory every day usually on days Road in that's quite industrial down there you're going away from town or yeah going out of town okay and just first what I can see you wearing glasses yeah do you wear glasses all the time yeah I'm short-sighted so after and did you have your glasses on yeah um don't you want to use that okay yeah um how far away were you when you saw this incident, and he was over the other side the writer maybe 30 meters 30 30 meters 30 meters away and and and what was the weather like, and it was pretty good clear day no rain, so you had nice clear view yeah okay wasn't anything in your way, and he doesn't like say was just over the road quite quiet really that roads and no cars we know that no other vehicles did you see any with people at now okay and how long did you observe, and it took him a little while to load I mean he was you know what vigorous, so it was maybe only a few minutes a few minutes yeah not maybe five minutes but so plenty of time so yeah to observe yeah okay can we just um you mentioned a vehicle, and you mentioned the man that one man yes just one can you describe the man to me please, and he was it was quite large big build, and it got quite short hair and look sort of shame quite a like or maybe blonde and t-shirt white t-shirt and other than that pretty out pretty average wrist yeah age and maybe forties um and height um probably about my height is about 510 living and the vehicle yeah it was a transit for transit the quite sure it was a yeah it was definitely a transit yeah and not there are a lot of vans that will never look it's its one I've dealt with before a transit so yeah I'm certain there's a trust see certain is a transit yeah how do you how do you how can you be so sure and well I used to I used to drive all right you know it's it was one of the older ones right rather than the new ones right, so it's that Gallup problem right, so it was a transit van yeah, yeah medium-sized van yeah okay when you saw this man start to unload the vehicle where were you in relation to and wise behind I was across the road like I say and the van drove past me down the road and stopped on the other side the right, so I...

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What is electrical witness statement form?

The electrical witness statement form is a legal document that records the testimony of individuals who witnessed an electrical incident or accident.

Who is required to file electrical witness statement form?

Anyone who witnessed an electrical incident or accident is required to file an electrical witness statement form.

How to fill out electrical witness statement form?

To fill out the electrical witness statement form, provide details of the incident, date, time, location, and contact information of the witnesses.

What is the purpose of electrical witness statement form?

The purpose of the electrical witness statement form is to gather first-hand accounts of electrical incidents or accidents to aid in investigations and legal proceedings.

What information must be reported on electrical witness statement form?

The information to be reported on the electrical witness statement form includes details of the incident, witnesses' testimony, date, time, and location.

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