Q:

How do you complete a blank incident report form?

A:

Quick Answer

Most incident report forms require that you enter your full name, department, job title and the date and time the incident occurred. Some forms also require your contact information, including your phone number, address and the address of the employer, states Woods Hole Oceanographic Institute Environmental Health and Safety.

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Full Answer

Include on the incident report a description of any visible injuries, such as bruises, lacerations or broken bones, and any treatment that the injured employee received, states Woods Hole Oceanographic Institute Environmental Health and Safety. Also include an account of the events leading up to the incident and any conditions that may have contributed to it in the report. For instance, note whether or not the employee wore safety equipment and what tools the employee was using at the time the incident occurred.

If someone witnessed the incident, obtain a witness statement, and attach it to the report, says Woods Hole Oceanographic Institute Environmental Health and Safety. Add the witness' contact information to the statement, and submit it to the company's human resources department for review.

An incident report is typically confidential, which means that is protected from discovery by a plaintiff in a lawsuit, states the Free Medical Dictionary. Most health care facilities require that employees fill out an incident report in the event of a patient-related accident, an error or omission in patient care or any untoward event involving visitors or staff. Forms vary, and usually are specific to the business or health care facility where the incident occurred.

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