Sample Workplace Accident Report Form
An incident accident report form is a documentation of what the witnesses saw heard and knew about all the details of an incident the form will be useful for court sessions in knowing who is liable for the act.
Sample workplace accident report form. Using this checklist can also document workplace violence and be helpful in compensation insurance claims and court cases. Office accidents happen from time to time. An accident report or incident report is a form that an employee or manager fills out in the case of an injury illness or near miss at the workplace. Indicate the individuals involved and the injuries sustained.
Available in us 8 5x11 a4 8 27x11 69 inches bleed. However an accident report places more emphasis on an injury sustained whereas an incident report focuses more on the cause of an event and how an employer can prevent it in the future. Employee s report of injury form. The terms accident and incident are often used interchangeably.
Easily editable printable. Employee accident incident report forms are used by those within any sort of business to report on any kind of accident or incident that an employee either witnessed or was a victim of. Employees shall use this form to report all work related injuries illnesses or near miss events which could have caused an injury or illness no matter how minor. Instantly download free workplace incident report template sample example in pdf microsoft word doc apple pages format.