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Critical Illness Application Form HR113 This form is to be used to make an application for extended paid sick leave under the Critical Illness Protocol (Section 4.2 of HSE HR Circular 005/2014 applies)
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How to fill out hse hr113 form:

01
Start by obtaining the official HSE HR113 form from the appropriate source. This form may be available online or through a specific department or organization. Make sure you have the most up-to-date version of the form.
02
Begin by providing your personal information in the designated section of the form. This typically includes your full name, contact information, and any relevant identification numbers or codes.
03
Moving on, carefully review the sections of the form that require you to provide details about the incident or event for which the form is being filled out. Ensure that you provide accurate and specific information, including the date, time, location, and nature of the incident.
04
If applicable, fill out any additional sections or questions on the form that pertain to the incident. These sections may ask for further details, witnesses' information, or any measures taken to prevent future incidents.
05
At the end of the form, sign and date it to indicate your acknowledgement and consent. Depending on the requirements, you may need to have the form signed by other involved parties or witnesses as well.
06
Once you have filled out the form, make sure to make copies for your records. If required, submit the completed form to the appropriate individual or department in a timely manner.

Who needs hse hr113 form:

01
Individuals or employees who have experienced or witnessed an incident or event that requires reporting as per health, safety, and environment regulations may need to fill out the hse hr113 form.
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This form is typically required by organizations, companies, or industries that prioritize keeping track of incidents and ensuring compliance with health and safety protocols.
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It is also beneficial for those responsible for maintaining records and investigating incidents within an organization. Having the hse hr113 form filled out and submitted helps identify trends, areas of improvement, and safety measures to be implemented.
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The hse hr113 form is a Health and Safety Executive form used for reporting workplace incidents and injuries.
Employers and responsible persons are required to file the hse hr113 form in cases of workplace incidents and injuries.
The hse hr113 form should be filled out with details of the incident or injury, including the date, time, location, and nature of the incident.
The purpose of the hse hr113 form is to help in the investigation and prevention of workplace incidents and injuries.
The hse hr113 form must include details such as the names of those involved, the severity of injuries, and any contributing factors to the incident.
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