THIS SECTION TO BE COMPLETED BY THE SUPERVISOR. Contributing Factors: What conditions contributed to the incident? □ Unsafe equipment. |
INCIDENT DESCRIPTION Describe tasks being performed and sequence of events. Attach additional pages as necessary. Was event / injury caused by an unsafe act ( ... |
Include an explanation of what the employee was doing. Did the accident happen on the employer's premises? What caused the injury/ illness? Identify the sizes, ... |
How to write a helpful and professional incident report. Be specific, detailed, factual, and objective. .. ○ Language: This information can be used by ... |
This document is a template for reporting workplace incidents. It collects information about the reported incident such as the date, time, location, people ... |
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