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Accident Reporting and Investigation Form

The procedure tracks details of workplace accidents, including the incident type, involved personnel, and whether emergency services (EMS) were contacted. It covers various emergency codes and specific sections to document the location, description, and contact information of those involved.
Grumble Hill
11/28/2024

Accident Reporting and Investigation Form

The procedure tracks details of workplace accidents, including the incident type, involved personnel, and whether emergency services (EMS) were contacted. It covers various emergency codes and specific sections to document the location, description, and contact information of those involved.

    Date & Time

    Section #7

    Code Called

    Section #6

    Incident type

    Section #3

    Name persons on site (Doctor ,Nurse, Worker)

    Section #4

    Name of person involved in incident & contact info

    Section #5

    Incident location and discription

    Section #6

    Was EMS called

Source: Grumble Hill (Community Member)

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