Get Internal Accident Form

The Internal Accident Form is a crucial document for reporting incidents involving employees, students, or visitors. Filling out this form online provides an efficient way to document the details of an accident and ensure proper procedures are followed.

Follow the steps to complete the Internal Accident Form online.

1. Press the 'Get Form' button to access the Internal Accident Form and open it in your preferred digital editor.
2. Begin filling out the information about the person involved in the accident. Enter their full name, gender, home address, and telephone number in the designated fields. Specify if the person is an employee, student, or visitor, and provide the campus address if applicable.
3. Next, detail the incident or accident. Enter the date and time of the occurrence, along with the precise location. Indicate the type of incident or accident by selecting from the provided options such as 'vehicle' or 'personal injury.' If the police were notified, mark yes or no accordingly.
4. Describe the events that led to the accident in detail. Include factors such as substances or objects involved and any key specifics regarding how the incident occurred. If necessary, attach additional sheets for more information.
5. Respond to whether the supervisor called for emergency medical services or offered to transport the injured individual to a hospital. If declined, ensure that the employee signs the form to acknowledge refusal of treatment.
6. Indicate whether medical treatment was provided. If treatment was administered, specify the location where it took place, such as an emergency room or a walk-in clinic, and note if the employee will miss time from work as a result of the incident.
7. If other parties were involved or injured, record their details. Additionally, note if any witnesses were present during the incident and provide their names, job titles, and departments if applicable.
8. If any items were damaged during the incident, estimate and record the approximate cost to repair or replace them.
9. Finally, complete the reporter information section by entering the name and title of the reporter, providing their signature, and noting the date when the report was completed.
10. Once you have filled in all fields appropriately, save your changes. You can then download, print, or share the Internal Accident Form as needed.

Complete your Internal Accident Form online to ensure accurate documentation.