Accident Report Form

Saturday, October 29th 2022. | Sample Templates

Accident Report Form – We all do our best to ensure a happy and healthy workforce. Therefore, in an ideal world, you would never need to create an incident report.

But since accidents do happen, it’s never a bad idea to be prepared for any situation, especially the unexpected.

Accident Report Form

Accident Report Form

In this step-by-step guide, we’ll share our best tips for creating incident reports to help you conduct effective investigations and ensure similar (or more serious) incidents don’t happen again. We’ll also include our best templates to get the job done.

Report It! Accident, Injury, Illness, Property Damage/loss, Theft, Etc. (maxient)

All templates in this post can be customized using our easy online incident report generator. Registration is free and many of our templates are free to use. 1. What is an incident report?

An incident report is a way of documenting all workplace illnesses, injuries, delays and accidents. An accident report must be completed at the time of the accident, no matter how minor the injury.

Any illness or injury that affects the employee’s ability to work must be noted. The details required by law to be included in an incident report will vary depending on the federal or provincial legislation affecting your workplace.

If you are unsure, you can check your government’s website for more details. In some cases, there are exemptions that may exempt small businesses from complying with such legislation.

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Here are some examples of incident type reports to get you started. I’ve also included some report design tips to help you present your information effectively. We also have a comprehensive guide to general report design if you want to dig a little deeper into the topic.

As with any document you create for your business, it’s good practice to include your branding in your incident reports. (Psst’s Brand Kit feature makes it easy to add your brand with just one click.)

Incorporate your brand colors into your design. You can do this by using them in your header, footer, sidebar and all visual elements.

Accident Report Form

To make your information as readable as possible, organize it into sections. One of the easiest ways to do this is to use boxes.

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For example, see how these types of incident report templates use fields to separate information:

Colors are not only great for making your reports, presentations and charts more interesting to look at. You can also use color to organize sections of your report and draw attention to key information.

For more tips on using color in your design, read our guide on how to choose colors to communicate effectively.

As part of branding your company, you can add a visual title to your reports. For example, this incident report template uses a neutral photo with a color filter to create a professional headline:

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You can do this by overlaying a photo on a colored background and adjusting the opacity of the photo.

If you have a staff change or something happens where the person reporting the incident is absent, it is important to have a documented process in place. This will ensure that if someone is put on the scene, they can properly fill out an incident report.

It may also be useful to add brief descriptions of the information to be included in each field in the incident report type. See how this sample incident report offers a short text to guide the person completing it:

Accident Report Form

Icons are small, compact visual elements that can be used to reinforce information in your reports. You can also use them to draw attention to specific areas and important information.

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It is equally important to prepare a report that allows you to record all relevant aspects of the details of the incident; this is an important first step in the incident reporting process.

Employees in your organization must notify their manager or another member of the company’s management committee as soon as an incident occurs, regardless of the nature of the event (whether it is an accident, illness, injury or near miss).

Given this, communication channels must be clearly defined to promote the practices of workers in these situations and their importance.

After an incident is reported, the first responsibility of a member of management is to provide, if necessary, appropriate treatment for those affected by the incident.

Vdfp Accident Report Form

On that note. if the hazard still exists, the manager to whom the event was reported must eliminate the hazard by controlling it. Each company must have a certain procedure for its implementation, consistent with the nature of its work.

For example, if there was a spill that caused a fall. You would track down the casualty and immediately clean up the spill and mark the area as hazardous.

After taking the immediate actions, including responding to the event and removing the hazard from the environment, it is time to determine and record the facts surrounding the details of the incident.

Accident Report Form

Indicate the specific place, time and date of the incident. This information is fundamental to the investigation and the most obvious information to collect.

Incident Report Samples To Help You Describe Accidents

Gather details of those involved and/or injured in the incident. This will require recording the name(s) of the person(s) involved, their job title(s), the department(s) they work in with the manager(s) concerned.

Talk to all the witnesses to the event to gather their perspective on the event. Record their statements on the form as detailed and accurate as possible.

To ensure accuracy, it is best practice to review your notes with the witness to ensure they agree with how the event is portrayed in the report. It is also important to include the names of witnesses in the report in case further questioning is required.

It is important to determine which factors are the result of the incident and which factors were present before the incident and may be potential contributing factors to the incident.

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In the report, you should note the actions of the people involved at the time of the incident. What did the employee do that led to the incident?

For example, if an employee injured their back while lifting a box on the job, it is important to determine how that employee lifted the box to determine if it contributed to their injury. If so, ask if this employee was properly trained for this task and by whom or from what source?

Identify and record the environmental conditions that contributed to the event. There wasn’t enough lighting. Was the equipment not working properly? Are employees’ visibility hindered by glare or blind spots? etc.

Accident Report Form

Record detailed descriptions of specific injuries and rate their severity in the report. This description should include the parts of the body injured, the nature and extent of the injuries.

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It is also important to record on a case-by-case basis the type of treatment provided for recognized injuries. This information is important to document in order to understand how the employee is recovering when considering the specifics of the event.

Record any damage to equipment, materials, etc. that occurs in the incident. This will be useful in event analysis to look back both at the corrective action plan and to determine which items need to be repaired or replaced.

Gathering and recording the facts surrounding the incident will help determine how the incident occurred. Analysis of the collected facts related to the incident will help determine why the incident occurred.

Analyzing and determining how and why an incident occurred is essential to developing an effective corrective action plan.

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The corrective action plan will provide recommendations as a way to reduce the likelihood of a continuing problem and/or repetition of the details of the incident. The recommendations will lead to an effective analysis of the facts gathered and documented in the incident report.

While preparing for the unexpected is often difficult, preventative measures are the cornerstone of maintaining a happy and healthy work environment for you and your workforce.

Incident reports are not only a critical part of any company’s incident response protocol, but they provide a way to avoid repeat incidents and/or inspire change.

Accident Report Form

This is why it is so important to have a proper and comprehensive incident reporting form that can be used to detail any incident that may occur. By adhering to the laws of your jurisdiction and considering the four components above, you will be well prepared to deal effectively with incidents.

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The impact of a timely and detail-oriented response to workplace incidents will not only ensure a safe workplace, but also:

An incident report is used to describe an event that requires an investigation to be documented.

Any event that may or may not cause injury to a person is considered an incident that requires documentation in the form of an incident report. INCIDENT/INCIDENT REPORT FORM Name of Camper Date Address Street City State Zip Name of Person Last Attended. Age Gender Position Camper Paid Staff Volunteer Staff Average Visitor Phone Name of Parent/Guardian if Minor

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