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SLIP, TRIP AND FALL HAZARDS ASSESSMENT CHECKLIST Location: Date: Completed by: Yes Work Areas and Housekeeping Have you conducted an assessment to identify potential slip, trip and fall hazards? Are
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How to fill out slip trip and fall:

01
Begin by clearly stating your personal information such as your name, address, and contact details.
02
Provide a detailed description of the slip, trip, or fall incident including the date, time, and location it occurred.
03
Explain the circumstances surrounding the incident, such as slippery floors, obstacles, or inadequate lighting.
04
Include any witnesses present during the incident and their contact information, if applicable.
05
Describe the injuries or damages you suffered as a result of the slip, trip, or fall. Be specific and include any medical treatments received.
06
Attach any supporting documents or evidence, such as photographs of the scene, medical bills, or witness statements.

Who needs slip trip and fall:

01
Slip trip and fall reports are typically required by individuals who have been involved in slip, trip, or fall accidents.
02
Employees who experience slip, trip, or fall incidents at their workplace may need to fill out these reports for documentation purposes or to report the incident to their employer.
03
Individuals who sustain injuries from slip, trip, or fall incidents on someone else's property, such as a store or public place, may need to fill out these reports as part of their legal claim or insurance process.
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A slip, trip, and fall is an incident where an individual loses their balance and falls due to a hazardous condition on a surface, such as wet floors, uneven pavement, or obstacles in walkways.
Typically, the injured party or their representative is required to file a report regarding the slip, trip, and fall incident to notify property owners or insurance companies.
To fill out a slip, trip, and fall report, gather details about the incident, including the date, time, location, cause of the fall, any witnesses, and a description of injuries sustained.
The purpose of filing a slip, trip, and fall report is to document the incident for legal, insurance, and safety record purposes, helping to address liability and prevent such incidents in the future.
The report should include the date and time of the incident, exact location, description of the circumstances leading to the fall, names and contact information of witnesses, a detailed account of injuries, and any medical treatment received.
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