Get Incident Report Form - Oseh - University Of Michigan - Oseh Umich

Completing the Incident Report Form for the University of Michigan is a crucial step in documenting incidents that occur on the job site. This guide will provide you with detailed, step-by-step instructions for effectively filling out the form online.

Follow the steps to complete the Incident Report Form accurately.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Enter the project name in the designated field to specify which project the incident pertains to.
3. Fill in the incident date and time accurately to provide a clear timeline of the occurrence.
4. Select the appropriate classification of the incident by checking one or more boxes: Near miss, property damage, injury/illness, or fire.
5. Detail the injury classification, if applicable, by checking the relevant options like first aid, OSHA recordable, restricted/transfer, or lost time.
6. Provide comments or clarifications regarding the incident in the designated comments section.
7. Enter the name of the employee involved and their sex, along with the job they were performing at the time of the incident.
8. Record the start time of work and the length of experience for the employee in years and months.
9. Indicate whether this is the employee’s first project with the University of Michigan by selecting 'yes' or 'no'.
10. Fill out the contractor involved information, including their contact number.
11. Specify the incident location as accurately as possible to assist with investigations.
12. Select one incident type from the available options related to injury/illness.
13. Indicate the body part affected by the incident by checking the corresponding box.
14. Provide a detailed description of the incident, capturing all necessary details.
15. Complete the Pre-Task Analysis section by answering the provided yes/no questions.
16. Identify the root causes of the incident and any preventative measures that could be taken.
17. Ensure all necessary signatures are obtained in the designated signatures section before submission.
18. After filling out the form, you can save your changes, download a copy, print it for physical documentation, or share it as needed.

Start filling out your incident report form online today to ensure accurate documentation and compliance.