Get Form 1 Supervisor's Follow-up Report Of Incident.doc - Depts Washington

Completing the Form 1 Supervisor's Follow-Up Report Of Incident is a critical process for documenting workplace incidents. This guide provides clear instructions to assist supervisors in filling out the form accurately and efficiently, ensuring compliance and support for the affected individuals.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to retrieve the form and open it in your preferred online editor.
2. Begin by entering the name of the employee or client involved in the incident in the designated field.
3. Indicate whether there were days lost from work by selecting 'Yes' or 'No'.
4. If applicable, indicate if there were any work restrictions by selecting 'Yes' or 'No'.
5. Specify the number of days lost from work and elaborate in the provided text field.
6. Describe in detail what the employee or client was doing at the time of the accident or injury.
7. Specify the part of the body that was affected and explain how it was affected.
8. Provide a detailed explanation of how and why the accident or injury occurred.
9. List all actions taken to prevent similar incidents from happening in the future.
10. Evaluate whether the accident was preventable or non-preventable by selecting the appropriate option.
11. Provide an explanation for your evaluation regarding preventability.
12. Sign and date the form to confirm the investigation was conducted.
13. Ensure the affected employee reviews the report, provides additional comments if necessary, and signs and dates the form, confirming receipt.
14. Once completed, save your changes, download a copy, or print the form for records.

Start filling out the Form 1 Supervisor's Follow-Up Report Of Incident online today to ensure proper documentation and follow-up.