Get Hazard / Incident Report Form - Wdarc

The Hazard / Incident Report Form - Wdarc is a crucial tool for documenting and reporting hazards or incidents that occur. This guide will provide you with detailed instructions on how to accurately fill out the form online, ensuring your report is clear and comprehensive.

Follow the steps to complete the Hazard / Incident Report Form online.

1. To begin, click the ‘Get Form’ button to access the Hazard / Incident Report Form - Wdarc. This will open the form in an online editor for you to fill out.
2. Indicate the classification of the report by selecting the appropriate option: Accident, Incident, or Near Miss.
3. Fill in the 'Reported By' field with your name and contact information to identify the individual submitting the report.
4. Record the current date when the report is being filed.
5. Input the name of the individual or department to whom the report is being submitted in the 'Reported To' field.
6. Again, record the date for when the report is being submitted to the noted party.
7. Describe the nature of the hazard or incident in the designated area, providing detailed information for clarity.
8. Document any initial actions taken and/or recommendations made regarding the situation.
9. Provide further recommendations if applicable, ensuring they are actionable.
10. Confirm if the report has been forwarded to the WDA Board of Directors, and indicate who received it, along with the date.
11. Note any actions taken as a result of forwarding the report to the board.
12. Include any additional actions or recommendations that may be required based on the hazard or incident.
13. Detail the process if the report has been forwarded to the WDA Safety Advisor, including who received it and the date.
14. Record any actions taken or comments noted by the Safety Advisor.
15. Document the submission of the report to the WDA club member who reported the hazard, including who received it and date.
16. Note any actions taken or comments related to this report submission.
17. Provide a copy of the report to the individual overseeing the prior correction efforts, including their receipt details.
18. State any actions taken or comments made regarding this oversight.
19. Outline potential lessons learned from this report to help inform future actions or reports.
20. Indicate the individual who will send the lessons learned to the WDM, including their initials.
21. Mark the closure of the report with initials and date from the individual responsible for closing it.
22. Complete the filing section by noting the initials and date of the person filing the report.
23. Finally, save your changes, and choose to download, print, or share the completed form as necessary.

Take the necessary steps today to ensure safety by filing your Hazard / Incident Report Form - Wdarc online.