All accidents are considered as incidents; however an accident report form focuses more on the injury.
An accident report is an important tool used to document the accident and assist in investigating the cause. It also assists to develop procedures that may be put in place to prevent it from happening again.
Accident Report File Form Example In Oakland
Category:
State:
Multi-State
County:
Oakland
Control #:
US-0022BG
Format:
Word;
Rich Text
Instant download
This website is not affiliated with any governmental entity
Public form
Description
Form popularity
FAQ
Non-Emergency Situations: For non-life-threatening issues, please use the following non-emergency numbers: OPD: (510) 777-3333 and Public Maintenance: 311 or (510) 615-5566. This helps keep 911 lines open for genuine emergencies and reduces response times for critical situations.
CHP has personnel that answers the 1-800-TELL-CHP telephone number 24 hours a day, seven days a week. If you are reporting an emergency that requires immediate attention please dial 911.
There are five key details of accidents legally required: Full name, address and occupation of the injured person (a) Date and time of the accident (b) Location of the accident (c) Cause and nature of the injury (d) Name, address and occupation of the person giving the notice, if other than the injured person (e).
How to Manage Incident & Accident Investigations in 4 Easy Steps Preserve and document the scene. Collect Data. Determine root causes. Implement corrective actions.
Items to review include: Date, time and specific location of incident. Names, job titles and department of employees involved and immediate supervisors. Names and accounts of witnesses. Events leading up to incident. Specifically what the employee was doing at the moment of the accident.
Name of injured person: M / F: DoB: ../../…. Occupation: Address: Telephone No: Any previous injury / medical condition: Name of Supervisor / Instructor: Date of incident: Time of Incident: Precise location (O.S. or GPS if appropriate attach photograph & in appropriate include measurement and a diagram of the site):
It should include: the names and positions of the people involved. the names of any witnesses. the exact location and/or address of the incident. the exact time and date of the occurrence. a detailed and clear description of what exactly happened. a description of the injuries.
Accident report forms should include fields for names and contact information of the individuals and witnesses involved, the type of accident, the date and time the accident occurred, the location of the accident, a detailed description of the accident, and room for any additional comments.
How to Write an Incident Report: A Step-by-Step Guide (with Examples) Step 1: Provide Fundamental Information. Step 2: Take Note of Any Damages and Injuries. Step 3: Identify Affected Individual(s) ... Step 4: Identify Witnesses and Take Their Statements. Step 5: Take Action. Step 6: Close Your Report.