Get Ims-f13a Accident Notification Form - Ehss

The IMS-F13a Accident Notification Form is a critical document designed to report incidents accurately and promptly. This guide provides step-by-step instructions on completing the form online, ensuring you have the information needed to file a comprehensive report.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to access the IMS-F13a Accident Notification Form online.
2. In Section 1, enter the details of the person making the report. Fill in the person's name, designation, contact number, and address. Also, include the date and time of the report, followed by the signature to authenticate the notification.
3. Proceed to Section 2, which contains the accident details. Record the name of the company or contractor and the name of the injured person. Provide the individual's ID number, age, and location of the accident. Indicate the gender of the injured person by selecting either 'Male' or 'Female.' Also, document the date of the accident, the person's occupation, shift timings, and the exact time of the incident.
4. In Section 2, also include the name of the main contractor if applicable and their contact number. Identify the nature of the accident by ticking the appropriate box, such as 'Injury,' 'Fire,' 'Property Damage,' or 'Environmental Disturbance.' If applicable, list the details of any plant or equipment involved in the accident. Indicate who reported the accident by providing the name and position of the supervisor along with their contact number. Additionally, tick any relevant options related to the nature of the accident, such as 'Fatality' or 'Amputation.'
5. Section 3 allows for a brief description of the accident. If more space is needed, attach a separate sheet with further details.
6. In Section 4, indicate immediate actions taken by ticking 'Y' for yes or 'N' for no in response to actions such as whether first aid was provided or if the emergency number was called.
7. Section 5 requires information about witnesses. Enter the names, positions, company or contractor affiliations, and contact numbers of any witnesses present during the incident. Remember to obtain their signatures if possible.
8. Ensure that the form is filled out completely and accurately, as it must be submitted to EHS within 24 hours following the accident. Save the changes, and then you may download, print, or share the form as necessary.

Complete your IMS-F13a Accident Notification Form online and ensure timely reporting of incidents.