The assistant manager or authorized designate for the store will be responsible for completing this form in the absence of the store manager. Incidentproperty damage report 1 incidentproperty damage report form print this form and use as a copy master. Secure storage and audit trail of all incident reports for regulatory purposes. Create an accident report form in an easy and effective way with the help of. If you need to report on any incident, then its best to use incident report forms for the right purpose. Incidentaccident report form small business free forms.
Incident and injury report details of injury eg to a worker or visitor and treatment date of incident. Incidents involving a crime or traffic incident should be reported. Sample form for your own use not for reporting to worksafe. Government departments, agencies, and offices can place an order for this form at. Employee accident report please complete and return, along with the dwc1 form, to human resources within 24 hours or the next business day following the accident. If the customer does not want medical assistance, please note this on the incident form. The type of report form to be used for this case is an accident report form which will indicate the details of the occurrence. Like how expense report forms lets you trace how much youre spending, use incident report forms to know what just happened. An incident report should be completed at the time an incident. Automatically save pdf reports online to the cloud. Some of these small business forms forms, agreements, contracts, etc contain technical language and create significant legal obligations and can never replace the advice of a lawyer.
Reports of serious injuries andor death shall be reported to the attorney generals office within 24 hours of the incident. This form was not drafted by an attorney and is not intended, nor shall be. One can use dmv accident report forms to file an incident regarding any vehicle accidents. This form must be completed by the store manager whenever an accident incident occurs. Complete this form when the incident is reported or discovered by you. Thank you for completing our accident incident report process. Drivers are responsible for reporting mishaps to the amc. First steps do not say while still at the scene remain calm get to a safe place check for injuries administer first aid call policeemt its all my fault, even if it is. Incidents, accidents and vehicle thefts are not something we like to think about, especially on a business trip or vacation, but they can and do happen even to the most careful drivers. Incident reporting is the process of documenting all workplace injuries, near misses and accidents. Provides information on all parties involved in the accident along with details on how the accident occurred. A report form is a form where specific pieces of evidence and issues are being stated. Do not furnish the customer with the incident report, unless the customer requests a copy of their statement. Obtain a statement from the customer of what happened and provide that information in the incident report.
Documents the details of the accident from the witnesss perspective. After completion, phone the report to the network, inc. Use this form to report accidents, injuries, medical situations, or student behavior incidents. Auto accident report form keep in your glove box when an accident occurs.