Get Employee S Report Of Injury Form - Gwcomm.biz

This guide provides step-by-step instructions for completing the Employee S Report Of Injury Form online. Whether you are reporting a work-related injury, illness, or a near miss, this form is essential to ensure proper documentation and support.

Follow the steps to fill out the Employee S Report Of Injury Form online

1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Once the form is open, provide your personal information. Fill in your name and job title, as well as the name of your supervisor.
3. Indicate the nature of the incident you are reporting by selecting one of the options: injury, illness, or near miss.
4. Specify whether you have informed your supervisor about the incident by selecting ‘Yes’ or ‘No’.
5. Enter the date and time when the injury, illness, or near miss occurred.
6. List the names of any witnesses, if applicable.
7. Clearly describe the exact location where the incident happened.
8. Detail what you were doing at the time of the incident.
9. Provide a step-by-step account of the sequence of events that led to the injury or near miss. If more space is needed, use the back of the form.
10. Indicate any measures that could have been taken to prevent the incident.
11. Describe any parts of your body that were injured or could have been injured in the case of a near miss.
12. If you sought medical attention for the injury or illness, specify the doctor's name and phone number.
13. Confirm if this is a recurring injury by indicating whether this part of your body has been injured previously.
14. Sign and date the form to verify the information is accurate.
15. Ensure that the completed form is submitted to your supervisor for further action, with the original going to the Safety and HR Department and a copy retained for yourself.

Complete your Employee S Report Of Injury Form online today to ensure accurate reporting.