Get Broward County Elevator Owners Accident Report - Broward

Filling out the Broward County Elevator Owners Accident Report is a crucial step in ensuring compliance with Florida law after an elevator incident. This guide will provide you with clear, step-by-step instructions to navigate the form easily and accurately.

Follow the steps to complete the report effectively.

1. Press the ‘Get Form’ button to access the report and open it for filling.
2. In Section 1, Equipment Location, select the type of equipment involved in the accident by checking the appropriate box: Elevator, Escalator, Moving Walkway, or Wheelchair Lift. Then, enter the BCID number.
3. Provide the accident date by entering it in the format mm/dd/yyyy, followed by the time of the accident. Specify the hour and minute, making sure to indicate AM or PM.
4. Fill in your name as the owner, business name if applicable, and the complete building address including city, county (which will be Broward), state, and ZIP code.
5. In Section 2, Service Maintenance, indicate whether there is a service maintenance contract by selecting Yes, No, or Unknown. If Yes, provide the name of the elevator maintenance company.
6. Indicate if the service maintenance company was notified about the accident by selecting Yes or No. Record the most recent required test date and the frequency of tests performed.
7. Move to Section 3, Accident Details. Provide a brief narrative of the incident. If more space is needed, attach additional sheets.
8. Check all applicable boxes regarding medical attention required, types of injuries, other factors involved, and any unsafe behaviors observed.
9. Complete the post-event inspection section by detailing if a post-event inspection was required and whether the equipment was cleared for continued use.
10. In Section 4, Reporting Signature, complete the report by entering your name, date of the report, signature, phone number, and title. Specify whether the current certificate is valid.
11. Finally, after ensuring all sections are thoroughly filled out, you can save your changes, download, print, or share the completed form as needed.

Ensure you have submitted the Broward County Elevator Owners Accident Report online to comply with legal requirements.