Get Universal Incident Report Form
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How to fill out the Universal Incident Report Form online
Completing the Universal Incident Report Form online is a straightforward process that requires careful attention to detail. This guide is designed to walk you through each section of the form to ensure that all necessary information is captured effectively.
Follow the steps to successfully complete the form.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- In the 'Report data' section, fill in the date of the incident and the precise time of injury, specifying whether it occurred in the morning or afternoon. Provide the name of the individual who was injured.
- In the 'Personal data' section, indicate the gender, age, local address, phone number, email, city, state, and ZIP code of the injured individual. Choose the appropriate classification in this section: student, faculty, or staff.
- Navigate to the 'Injury data' section. Indicate if there was a body fluid spill and whether Universal Precautions were practiced. Identify the specific part of the body that was injured and the nature of the possible injury by checking the relevant boxes.
- Describe the actions taken following the injury. Provide details of any first aid administered, including supplies used, and specify where the victim was transported.
- Record times such as when emergency medical services were called and when they arrived. Include the names of EMT personnel if applicable.
- In the 'Reporting Person’s #1 narrative' section, provide factual information about the incident, including statements from witnesses or others who responded to the accident. You may need to use additional pages for detailed accounts.
- Ensure all required signatures are collected in the 'Signatures' section. This includes the injured person’s signature, if applicable, as well as the signature of the reporting person.
- If there are witnesses, gather their information and statements in the 'Witness Info' section. Make sure to include detailed accounts of their observations.
- Lastly, in the 'Office' section, note the date of follow-up, the staff member in charge, and any follow-up comments related to the incident.
- After completing the form, ensure all sections are filled accurately. You can then save changes, download, print, or share the form as necessary.
Begin filling out the Universal Incident Report Form online today to ensure proper documentation of the incident.
An incident report should document any occurrence that disrupts normal operations or poses a risk to safety. This includes accidents, injuries, property damage, or any other significant event. Using a Universal Incident Report Form helps standardize these entries, ensuring that your organization maintains clear communication regarding such incidents. Always assess the context to determine whether an event warrants a formal report.
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