Accident statistics form template

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Try Smartsheet for free, today. In This Article. Incident Report Template. See how Smartsheet can help you be more effective. Accident Incident Report Template. Employee Incident Report Template. Offense Incident Report Template. Security Incident Report Template. Tenant Incident Report Template. Student Incident Report Template. In environments such as workplaces and schools, you need to make sure that that you keep a record of any accidents or incidents. Not only is it a legal requirement to do so for certain occurrences under RIDDOR, it also enables you to assess how and why it happened.

Knowing this, you can help to prevent similar incidents from happening in the future. An accident form template can help you to ensure you keep a record of all the necessary information.

We have created a free accident form template that you can use to record any incidents at your place of work. Accident forms are necessary for storing evidence of an incident which has taken place. They should be used in all workplaces but are also beneficial for schools, sport and activity clubs and at volunteering events. It is a legal requirement for companies with more than ten employees to keep an accident book. Often, a responsible person will be nominated and it will be their job to ensure reported incidents are recorded in the book.

Your place of work or organisation may have a physical accident book, or may keep them stored in a digital format. Honey they get me! They get me at work! How was your break? You Are Not Alone! Who wants to be a safety professional?

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Watch a free demo. The document also includes a section for the employee to sign a medical release. At the workplace, when a hazardous occurrence arises that has the potential to cause bodily injury, health issues, or even fatalities, you should file a workplace incident report immediately, so authorities can determine if further investigation is necessary.

This incident report form template provides space to record all employees involved in the incident, identification numbers of equipment involved, incident event details, and injury and first aid details.

You should complete a work-related injury report as soon as possible after sustaining an injury and immediately submit it to HR for processing. The supervisor should make sure they complete the injury report if the employee involved in the accident is physically unable to do so. In addition to filing an employee incident or accident report, the supervisor will need to file an incident investigation report in order to collect facts, determine the supreme cause of the accident, and implement corrective actions.

Word PDF. A witness statement to an accident can aid in the investigation of a hazardous event and help prevent similar incidents in the future. Use this statement of witness to accident template to track key details, including the name of the employee involved and the contact information for the witness. The document includes ample space for the witness to recount the event details. You can use this pre-built near-miss report form template to record particulars regarding an incident that had the potential to cause an injury, death, or illness.

This template tracks the location of the close call, the workplace conditions, the type of concern, a description of the incident, any safety suggestions, and more. The form provides the employer with a clear picture of the event circumstances, so you can develop a plan of action to prevent future incidents.

According to OSHA, employers must retain records of employee injuries and illnesses for a minimum of five years. This downloadable employee incident log template provides space to record the claim number, employee identification number, incident date, location, and severity e. Excel Smartsheet. This workplace violence incident report template is for the victim of a verbal threat or an act of physical violence.

The victim should complete the report. This template tracks key incident details, including the name of the person s demonstrating the prohibited behavior, the name of the victim, incident witnesses, events leading up to and during the incident, plan of action recommendations, police report information, and more.

Use this pre-built health and safety incident report form to record dangerous incidents at the workplace, including diseases, illnesses, and safety hazards. Affected employees, contractors, and visitors to the worksite should fill out this form immediately following an occurrence to report the incident details, outcomes, first aid provided, corrective measures, and other information about the event. This ready-to-use general staff incident report form template includes room to report employee information, incident description details, an employee explanation, any witness names, and actions to be taken e.

It also includes space at the bottom for signatures. Customize this work accident report sample letter to suit your needs, and then submit it to your employer within the notification time frame required by your state. This template also includes space for you to add incident details including events leading up to the incident , names of witnesses, treatment received following the incident, work restrictions, and more.