Follow the steps to successfully complete the online incident report.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Fill in the 'Report Date' field by entering the date the report is being generated.
3. In the 'Incident Date' section, indicate the date when the incident occurred.
4. Complete the 'Date Riley Construction Company, Inc. was notified of the Incident' field with the notification date.
5. Enter the 'Incident Time' to the best of your knowledge.
6. Provide the 'Injured Person' name and any relevant details regarding their condition.
7. Specify the hospital name where the injured person was transported in the respective field.
8. Indicate if Riley Safety was notified, providing any details necessary.
9. Include the information about the Police/Fire Department dispatched to the jobsite and their report number.
10. Fill out whether OSHA was notified.
11. Complete the section regarding 'Job Name, number and Address' related to the incident.
12. Document any 'Personal Protective Equipment used' during the incident.
13. Indicate the type of 'Medical Attention' that was provided.
14. Note if 'Drug and Alcohol Testing' was conducted and any relevant results.
15. Specify the 'Location' of the incident, providing clear details.
16. Document the 'Weather Conditions' at the time of the incident.
17. Provide the 'Owner' information of the jobsite.
18. Fill out the 'Owner Representative' if applicable.
19. Complete the 'Permits Required' section indicating types and whether they are needed.
20. Enter the details of the 'General Contractor' involved.
21. List the 'Primary Subcontractor' and 'Secondary Subcontractor' details.
22. Mention any relevant 'Union' information.
23. Document any 'Witness' names and contact information.
24. Provide a detailed 'Witness Statement' reflecting their observations of the incident.
25. List all individuals involved using their names and titles.
26. Document contractors present on the jobsite at the time of the incident.
27. Indicate 'Safety Training' relevant to the incident.
28. Describe 'Type of Injuries' sustained during the incident.
29. Document any 'Property/Equipment Damage' including ownership details.
30. Provide an 'Environmental' assessment if applicable.
31. Fill out the 'Details of the Incident' section, providing as much information as possible.
32. Specify the 'Location of the Incident' in detail.
33. Indicate if 'Pictures taken' were included and describe them.
34. Outline any 'Corrective Actions' taken post-incident.
35. Make sure to forward copies to the Safety and Risk Manager.
36. Once all fields are filled out, users can save changes, download, print, or share the completed form as needed.

Complete the Riley Construction Company Procedure 61-0 online today to ensure efficient incident reporting.