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Description
Document workplace injuries comprehensively with this report. Ensure accurate recording and follow-up to improve safety protocols and prevent future incidents.
Frequently asked questions
Got an extra question about this template? Take a read of the FAQs, you'll likely find it here.
You need to provide the injured worker's family name, first name, company, position, and the time of the injury or illness. Additionally, you must describe the nature of the injury or illness and specify the bodily location affected, as well as the exact location where the injury occurred.
The person making the entry, typically the manager or supervisor of the injured worker, must complete the report. They need to sign off, confirming that the report is accurate. The report must also include whether an investigation was conducted and what controls were implemented to prevent a recurrence of the incident.
You must describe how the injury or illness was sustained and indicate whether any equipment was involved. If equipment was involved, provide specific details. Additionally, list any witnesses to the incident, including their full names and contact numbers.
Document whether the injured worker returned to work following the injury, whether the injury was reported to their supervisor, and if any treatment was provided. This helps in understanding the immediate response to the injury.
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