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  • Tool 5 : Accident Or Incident Record Form - Hsa

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Ale Status (Please tick appropriate box) Pupil Teacher/staff member Visitor Contractor Other (please specify): Date of Accident/Incident: Date Accident/Incident reported to school management: Where appropriate, more then one box in each section may be ticked. TYPE OF ACCIDENT Tick MAIN AGENT WHICH CAUSED ACCIDENT: Injured/damaged by a person Struck by/contact with Caught in/under Slip/trip/fall Sharps Road Traffic Accident/Crash Exposure to substances/environments PART OF BODY.

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Information on accidents, incidents and ill health can be used as an aid to risk assessment, helping to develop solutions to potential risks. Records also help to prevent injuries and ill health, and control costs from accidental loss.

The purpose of the incident report is to document the exact details of the occurrence while they are fresh in the minds of those who witnessed the event. This information may be useful in the future when dealing with liability issues stemming from the incident.

In the case of accidents, employers who must keep an accident book (B1510) under Social security Law can use this for keeping the records of injuries although, a separate method will be needed for cases of disease. Information supplied to HSE in a RIDDOR report is not passed on to your insurance company.

If a worker becomes injured, whether major or minor, it's vital that they report the injury to ensure proper treatment and care under workers' compensation. ... Report the injury immediately so that your employer is aware of the issue right away, leaving no time for them to wonder if you hurt yourself elsewhere.

Injuries should be reported using the online reporting system on the Authority's website (www.hsa.ie). Those who are required to report accidents and dangerous occurrences under the Regulations are also required to keep records for a period of 10 years from the date of the incident.

Fatal accidents must be reported immediately to the Authority or Gardaí. Subsequently, the formal report should be submitted to the Authority within five working days of the death. Non-fatal accidents or dangerous occurrences should be reported to the Authority within ten working days of the event.

HSA figures In recent years, manual handling has tended to be the most common cause of non-fatal injuries, contributing about one-third of those reported to the HSA in 2016 (32%), (Figure 2.19).

They provide a reminder of possible hazards. Reporting them provide a way to monitor potential problems and root causes as they recur. The documentation of these problems and root causes increases the likelihood that repeating failures will be noticed and corrected before they develop to more serious incidents.

A non-fatal accident or dangerous occurrence should be formally reported within 10 working days of the event. Injuries should be reported using the online reporting system on the Authority's website (www.hsa.ie).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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