Get Oh Incident Report - Delaware County 2019-2026

The OH Incident Report - Delaware County is an essential document for reporting workplace incidents. This guide provides a clear and detailed approach to filling out the form accurately and efficiently to ensure proper documentation and compliance.

Follow the steps to complete the OH Incident Report online

1. Click ‘Get Form’ button to access the online version of the OH Incident Report and open it in the editor.
2. Begin by entering your personal information in the 'Employee Information' section. Fill in your department, name, job title, address, date hired, city, state, zip, work phone number, date of birth, and mark your gender. You must also specify the time your shift began, and include your personal phone number and email.
3. In the 'Incident Information' section, check the appropriate boxes for the type of incident (injury, illness, property damage, or other). Fill in the date and time of the incident, indicate whether it occurred during your regular shift, and specify the incident location.
4. Describe what you were doing just before the incident occurred, along with the tools used. Provide a detailed incident description explaining how it happened.
5. Detail the injury or illness resulting from the incident, describing the body part affected and the nature of the injury. Specify the object or substance that harmed you.
6. Indicate whether the activity was part of your normal job duties.
7. In the 'Health Care or Physician Information' section, enter the name of your physician or first aid provider. If treatment was received away from the work site, provide details about the facility.
8. Answer questions regarding emergency room treatment, hospitalization, first aid classification, and whether you missed work or experienced previous conditions affected by the incident.
9. For the 'Property Damage' part, indicate whether a law enforcement report was filed and provide the relevant details for the report.
10. Fill out the 'Vehicle Information' section if applicable, including details about any county or personal vehicle involved.
11. Gather witness information in the 'Witness Information' section. Include their name, signature, phone number, and a statement if necessary.
12. Complete the 'Supervisor Statement' with your supervisor's details, their account of the incident, recommendations, and note if a drug test was performed.
13. Finally, review all information for accuracy. Save your changes, and you may choose to download, print, or share the completed form as necessary.

Complete your OH Incident Report online today to ensure proper documentation of workplace incidents.