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This form is to be completed by the Supervisor or Instructor of an injured employee or student, specifically to report details regarding the injury, including the circumstances, treatment, and follow-up actions. It must be submitted to the Occupational Health & Safety department within one day of the incident.
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How to fill out report of injury

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How to fill out report of injury

01
Start by gathering all necessary information about the incident.
02
Include the date, time, and location of the injury.
03
Describe the circumstances leading to the injury clearly and concisely.
04
Record details about the injured person, including their name and contact information.
05
Document the nature of the injury and any immediate treatment given.
06
Collect witness statements, if available, to support the report.
07
Sign and date the report, and submit it to the appropriate authority.

Who needs report of injury?

01
Employers for workplace injury records.
02
Insurance companies for claims processing.
03
Health care providers for medical treatment documentation.
04
Legal representatives in case of disputes or claims.
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A report of injury is a formal document that provides details about an incident where someone was injured, typically within a workplace or organizational setting.
Typically, employers or supervisors are required to file a report of injury, but in some cases, the injured employee may also need to file a report.
To fill out a report of injury, gather all relevant details about the incident, including the time, place, nature of injury, witness information, and any medical treatment provided, then complete the designated form provided by the organization or relevant authority.
The purpose of a report of injury is to document the details of the incident for legal, medical, and insurance purposes, and to help organizations identify hazards and prevent future injuries.
Information that must be reported includes the date and time of the incident, location, description of the injury, how it occurred, information about witnesses, and any treatment received.
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