Get Non-employee Accident Report Form This Is Not A Claim ...

Filling out the NON-EMPLOYEE ACCIDENT REPORT FORM is an important step to document any accidents involving non-employees. This guide provides clear and concise instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. In the 'Division' field, enter the specific division where the incident took place. This helps to identify the relevant department involved.
3. Fill in the 'Location' section with the exact place of the accident. Being specific will assist in future reference and investigations.
4. Provide the details of the injured person, including their full name, home address, date of birth, and occupation in the corresponding fields.
5. In the 'Accident Details' section, record the date and time of the injury, specifying whether it occurred in the morning or evening.
6. Describe the exact location where the injury occurred to offer clarity on environmental factors.
7. Elaborate on the type of injury or condition and specify the part of the body that was affected.
8. Provide a detailed account of how the injury or condition occurred, including any relevant circumstances leading up to the accident.
9. List any witnesses to the incident in the appropriate witness fields, providing their names and any important comments they may have.
10. Complete the 'Report of Accident' section, detailing the name and position of the person who was notified about the incident along with the date and time it was reported.
11. Indicate whether there was any property damage by checking 'Yes' or 'No'. If 'Yes', provide a brief description of the damages.
12. In the 'Remarks' section, add any additional notes or observations relevant to the incident.
13. Have the injured person sign and date the form. If the injured person is unavailable, do not delay sending the form to the head office.
14. Ensure a manager signs and dates the form as well before forwarding it to the head office without delay.
15. Finally, after all fields are completed, save your changes, download a copy for your records, print it, or share it as necessary.

Complete the NON-EMPLOYEE ACCIDENT REPORT FORM online today to ensure proper documentation of the incident.