Get Action Form - Saif Corporation

The ACTION Form by SAIF Corporation is designed to streamline the process of accident and incident analysis. This guide provides step-by-step instructions to help users fill out the form accurately and efficiently.

Follow the steps to complete the ACTION Form with ease.

1. Press the ‘Get Form’ button to access the ACTION Form and open it in your preferred editor.
2. In the 'Company' field, input the name of the organization where the incident occurred.
3. Fill in the 'Department' section with the relevant department of the company involved in the incident.
4. Input the 'Supervisor' name who oversees the affected employee.
5. Enter the name of the 'Employee' involved in the incident.
6. Specify the 'Job title' of the employee in question.
7. Record the 'Date hired' for the employee.
8. Indicate the 'Date/time of incident' when the event took place.
9. Fill in the 'Date/time reported' field to document when the incident was reported.
10. Describe the 'Incident location' accurately for clarity.
11. List any 'Witnesses' present during the incident for reference.
12. Mark the type of incident by selecting either 'Incident/near miss,' 'Accident,' 'First Aid,' 'Medical care,' 'Time loss,' or 'Fatal' as applicable.
13. If any of the boxes relating to medical care or time loss are checked, note that you will need to file form 801.
14. Provide a detailed 'Describe accident/incident' section, following the ACTION steps outlined in the form.
15. After thoroughly completing all sections, you can save your changes, download, print, or share the ACTION Form as needed.

Begin completing the ACTION Form online now to ensure thorough documentation of the incident.