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#19b accident report form injured performer: name: address:.

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How to fill out the accident report form - SAG-AFTRA online

Filling out the accident report form - SAG-AFTRA is an essential step in documenting any incidents that occur during production. This guide will provide you with a clear and supportive walkthrough on how to complete the form accurately online.

Follow the steps to complete the accident report form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Begin by entering the name of the injured performer in the designated field. Make sure to provide the full legal name.
  3. Next, fill out the address of the injured performer. This should include the complete street address, city, state, and zip code.
  4. Input the home phone number of the injured performer. Ensure the number is accurate for any follow-up communication.
  5. Specify the date of the accident. Use the format provided in the form.
  6. Indicate whether the injured performer was a minor at the time of the accident by selecting 'Yes' or 'No'.
  7. Describe the type of contract under which the performer was hired. Options may include stunt, principal, or background performances.
  8. Provide the name of the production involved in the accident.
  9. Enter the name of the production company associated with the project.
  10. List the name and phone number of the production company contact for accidents. This person should be knowledgeable about the incident.
  11. State whether the performer was involved in a stunt or action scene at the time of the accident.
  12. Clarify the type of production — whether it was a feature film, episodic TV show, or a commercial.
  13. Indicate where the accident occurred: on location, at the studio, or elsewhere.
  14. Provide a brief description of the accident. If more space is needed, you may attach additional sheets.
  15. Specify if the performer received treatment on set or was referred to a personal physician.
  16. Indicate whether the performer was hospitalized due to the accident.
  17. Confirm if the performer required an overnight stay at the hospital.
  18. State whether the accident was fatal to the performer.
  19. Finally, do not forget to attach any necessary production reports for the day of the accident.
  20. Once all information has been filled in accurately, save your changes. You can also download, print, or share the completed form as needed.

Ensure the safety and documentation of incidents in your productions by completing the accident report form online today.

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Physical examples of accidents include unintended motor vehicle collisions, falls, being injured by touching something sharp or hot, or bumping into something while walking.

The date the accident happened; The date the accident was reported; The name and job title of the person logging the accident; Whether or the not the injured party is an expectant mother; and.

Incident can refer to any event – big or small, good or bad, intentional or unintentional. A bank robbery, a funny or controversial situation, an argument between celebrities, etc. – all can be described as incidents. An accident is a bad event caused by error or by chance.

The report tells the enforcing authorities for occupational health and safety (HSE and local authorities) about serious incidents and cases of disease. This means they can identify where and how risks arise and whether they need to be investigated.

What should you include in an incident report? When & where did it happen? Your report should contain the date, time and location where the accident took place. ... Who were involved? ... What did they do? ... Why did it happen? ... Were there any witnesses? ... What is the extent of damage to a person or property?

The accident book can be filled out by anyone, but it should be checked by the qualified first aider in your workplace. It's more important that the details written in the accident book are accurate, rather than who fills it out. Ideally, someone with first-hand involvement in the accident would write the record.

Detailed description of the event. Parts of body injured and/or parts of equipment damaged (in an injury occurred) Description of employee's response immediately after the event (grabbing injured arm, running from room etc.) Extent of damage.

What should you include in an incident report? When & where did it happen? Your report should contain the date, time and location where the accident took place. ... Who were involved? ... What did they do? ... Why did it happen? ... Were there any witnesses? ... What is the extent of damage to a person or property?

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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
Help Portal
Legal Resources
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