Get Undergraduate Lab Incident Report Form - The University Of North ...

Filling out the Undergraduate Lab Incident Report Form is a crucial step in ensuring safety and compliance within the laboratory environment. This guide will provide you with clear, step-by-step instructions to complete the form accurately online.

Follow the steps to successfully complete the incident report form.

1. Use the ‘Get Form’ button to acquire the form and open it in your preferred online editor.
2. Begin by filling out the section titled 'Injury or illness'. Indicate whether the incident was a near miss or resulted in injury, providing specific details as necessary.
3. Record the location of the incident, including the lab course and section details where the incident occurred.
4. Enter the date and time of the incident, ensuring accuracy to help with future investigations.
5. Next, provide the name of the teaching assistant overseeing the lab at the time of the incident.
6. Fill in the last name, first name, and initial of the person involved in the incident, as well as their PID (Personal Identification Number).
7. If external health services are required, include the name and phone number of the emergency contact.
8. Specify the type of injury (e.g., cut, burn) and the body part affected.
9. Describe the events leading up to the incident, including factors that contributed directly to it.
10. Indicate whether the personal protective equipment required for this laboratory was in use.
11. Assess the probability of the event recurring and its severity, marking your evaluation for reference.
12. Document any immediate corrective actions that were taken following the incident.
13. Outline the permanent solutions that have been or will be implemented to eliminate the basic causes of the incident.
14. Indicate if medical treatment was sought, specifying whether it was none, first aid, or transport to emergency services.
15. Lastly, enter the name of the investigator and the date of the investigation for record-keeping.
16. Once all fields are completed, save your changes, and if necessary, download, print, or share the completed form.

Begin filling out your Undergraduate Lab Incident Report Form online today to ensure a safe lab environment.