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HYSA ACCIDENT/INCIDENT REPORT FORM Date of incident: ___ Time: ___ AM/PMLocation: ___Head Coach/ attending Coach(s): ___Nature of Event (sport): ___ Name of injured person: ___ Address: ___ Phone
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What is hysa accident/incident report Form?

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The HYSA accident/incident report form is a document used to formally record details of accidents or incidents that occur within a specific context governed by HYSA regulations, such as workplace injuries or vehicular accidents involving HYSA members.
Individuals involved in an accident or incident, including employees, supervisors, and any relevant witnesses, are required to file the HYSA accident/incident report form.
To fill out the HYSA accident/incident report form, provide accurate and detailed information regarding the nature of the accident, the individuals involved, date, time, location, and a description of the events leading to the accident.
The purpose of the HYSA accident/incident report form is to document details related to accidents or incidents for analysis, reporting, compliance purposes, and to facilitate necessary follow-up actions to prevent future occurrences.
The information that must be reported includes date and time of the incident, location, names and contact information of those involved, a description of the accident or incident, witnesses, and any injuries or damages that occurred.
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