Get Weber State University Supervisors Report Of Incident 2021-2025

Filing a Supervisor's Report of Incident is essential for documenting workplace occurrences at Weber State University. This guide will provide you with clear instructions on completing the form accurately and efficiently.

Follow the steps to complete the form effectively.

1. Click 'Get Form' button to access the report and open it in the form editor.
2. Fill out the injured person's information section. Enter the name and employee or student ID (W#), and check the appropriate status box (Employee, Student, Visitor). Make sure to include the supervisor's name and job title.
3. Provide the incident information. Input the date, location, and time of the incident. Describe the task being performed when the incident occurred and check the appropriate result boxes (Injury, Fatality, Property Damage, Near-Miss). Add witness names and phone numbers if available.
4. Detail the consequences of the incident by stating the number of workdays lost. Describe how the incident occurred and what actions, events, or conditions contributed to it.
5. Indicate whether safety equipment was provided and used. Check 'Yes' or 'No' for both, and provide details as necessary.
6. Answer what can be done to prevent future incidents of this type. Provide suggestions based on your observations.
7. If the incident resulted in injury, complete the injury information section. Indicate whether first aid was administered or if medical treatment is required. Address any concerns regarding the injury being work-related.
8. Finally, review your entries for accuracy, then sign and date the form as the supervisor. Ensure all relevant sections are completed before finalizing.
9. Save your changes, download the completed form, and print or share it as needed.

Ensure workplace safety by completing documents online swiftly and accurately.