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  • 9a.form 22. Accident Report And Investigation Form.doc - Masterlink Co

Get 9a.form 22. Accident Report And Investigation Form.doc - Masterlink Co

Form 22 RECORD of ACCIDENT or INCIDENT Serious Harm Non-Serious Harm YES / NO 1 Particulars of employer: (Business name and address) YES / NO 9 Near Miss YES / NO Agency of accident or harm: o Machinery.

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How to use or fill out the 9a.Form 22. Accident Report And Investigation Form.doc - Masterlink Co online

This guide will assist you in completing the 9a.Form 22. Accident Report And Investigation Form.doc from Masterlink Co accurately and efficiently. By following these steps, you can ensure that all necessary information is captured for proper accident reporting and investigation.

Follow the steps to fill out the accident report form correctly.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Complete the section on particulars of the employer by providing the business name and the address where the accident occurred.
  3. Fill in the location of the place of work, detailing the specific shop, unit number, or any relevant street information.
  4. Provide personal data of the injured person, including their name, residential address, date of birth, and sex.
  5. Indicate the occupation or job title of the injured person.
  6. Specify the period of employment of the injured person, choosing one of the options provided.
  7. Document the treatment of the injury sustained, outlining the level of care received.
  8. Record the time and date of the accident, making sure to specify the shift worked.
  9. Detail the mechanism of the accident or harm, selecting relevant descriptors from the list provided.
  10. Complete the investigation section, indicating whether an investigation has been conducted and the findings.
  11. Finally, fill out the completed by section with the name and position of the employer or employer’s representative, ensuring to sign and date the form.
  12. At the end, you may save changes, download, print, or share the completed form as needed.

Complete your 9a.Form 22 online now for efficient accident reporting and investigation.

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Get 9a.Form 22. Accident Report And Investigation Form.doc - Masterlink Co
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232