Accidents don’t only occur within streets and roads but also in a company workplace. This is why companies provide medical reimbursements and other benefits for their employees. Yet, to get these payments, an employee must submit an accident or incident report and undergo an investigation. The authorities will use an accident investigation form to state their observations.

Generic Accident Report Sample

Investigation Report Sample

Accident Report Template

Accident Investigation Form Sample

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What’s in an Accident Investigation Form?

Accident investigation forms must contain the general information of the victim or employee. Other than these details are as follows:

Accident Incident’s Details

This will focus on the date of the accident along with the specific location of where it occurred. The report date of the accident is also included in this section. This is to determine the number of days that the authority was able to construct a resolution or solve the case. You may also see accident report forms for further reference.

Type of the Injury

This section will state the type and level of injury that the employee obtained in the accident. Most report forms will have a checklist of the various injuries such as bruises and burns. Furthermore, the employee’s explanation for his injury must also be in this section.

Accident Incident Investigation Form

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Damaged Properties

The company property that has been the reason for the accident will be the subject of this section. If there are many damaged properties, the employee should state each material on a list. This will also have the nature of the damaged property whether it is applicable for reusing or not.

The Accident

This section will deal with the accident information and details. This includes the sequence occurrence or incidents that lead to the injury of the victim. An illustration of the accident can also be enclosed in this document. How the company can lessen the employee risk and workplace hazards are also indicated along with the accident’s analysis.

Treatment and Investigation

This refers to the details of how the employee received a medical treatment after the accident. The people who helped during the accident such as the person who provided first aid and the investigators will have their names stated in this section. Furthermore, the hospital’s name and location are also included as an essential data.

Supervisor Accident Investigation Form

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Tips for Using an Accident Investigation Form

Completing an accident investigation form is an easy task as long as the user of the form knows the details of the accident. The first tip that the user must remember is to gather all the data about the accident such as the names of the people involved and pieces of evidence. The second tip is to properly use the collected data for conducting an effective analyzation. You may also see DMV accident report form.

The third tip is to help the management in taking risk control measures by listing down suggestions on the prevention section of the form. Your suggestions should be practical and mainly based on the accident that you have reported to the company. Lastly, always submit the completed document immediately upon completion. This will put the case at a fast pace to acquire a resolution as you have given enough details to aid the investigators in the accident. You may also see witness statement forms in relation to accidents.

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