Get National Incident Report Form

Filling out the National Incident Report Form online is an important step for documenting incidents accurately and efficiently. This guide provides step-by-step instructions to assist users in completing the form properly, ensuring that all necessary information is captured.

Follow the steps to complete the National Incident Report Form online.

1. Click ‘Get Form’ button to obtain the National Incident Report Form and open it in your preferred online editor.
2. Fill in Section A with general incident details. Enter the date and time of the incident in the designated fields, ensuring to use a 24-hour clock format. Specify the location by selecting whether it is onsite or offsite, and provide a brief description of the incident.
3. In Section B, provide details about the person affected by the incident, including their employee number, first name, surname, and date of birth. Record the dates of absence if applicable and indicate the category of person involved.
4. Complete Section C for service user details only. Enter the healthcare record number and the name of the lead clinician. Select the relevant service and specify the specialty under which the incident occurred by ticking the appropriate boxes.
5. If applicable, fill in Section D with details about the staff member, agency, or panel involved. Specify their category and any relevant information.
6. Proceed to Section E if the incident involved an external contractor. Fill out the company name and number as required.
7. In Section F, classify the type of hazard related to the incident by selecting from the provided options. Further specify the sub-hazard type, process, and problem or cause related to the incident.
8. Complete Section G to classify the injury if harm was sustained. This section requires selecting the type of injury and its classification.
9. In Section H, note who reported the incident and ensure that details about open disclosure are filled out in Section J, if necessary.
10. Finally, gather witness details in Section K and ensure that signatures are obtained in Section L from the reporter and their line manager if required.
11. After filling out all sections, save your changes, and choose the option to download, print, or share the form as needed.

Complete your National Incident Report Form online today to ensure accurate incident reporting.