Accident Report File Form (form 10) In Philadelphia

State:
Multi-State
County:
Philadelphia
Control #:
US-0022BG
Format:
Word; 
Rich Text
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Description

The Accident Report File Form (form 10) in Philadelphia is essential for documenting workplace accidents and injuries. This form must be completed promptly, ideally within 24 hours of the incident, to ensure timely reporting to Human Resources. Key features include sections for incident details, employee information, supervisor statements, and witness accounts. Users are required to describe the nature of the incident, any equipment involved, and unsafe conditions that may have contributed to the accident. The form also collects medical information, including treatment received and the names of medical personnel involved. For attorneys, this form serves as crucial evidence in potential legal cases, helping establish liability and context. Owners and partners can use the form to assess workplace safety and liability risks, while paralegals and legal assistants benefit by understanding the necessary components for compliance and record-keeping. It is also useful for associates in preparing case files and supporting documents related to workplace injuries.

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FAQ

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).

What to include in a work incident report The date and time of the incident. The name of the witness or author of the report. A detailed description of the events. The names of the affected parties. Other witness statements or important information. The result of the incident.

Aim to take note of the following: full names, phone numbers, addresses and ID numbers of the drivers. company details for any company vehicle involved. names and contact details for any witnesses. where and when the accident took place. the weather conditions. vehicle descriptions and registration numbers.

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).

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):

Here's Who To Contact. Call the City at (215) 686-2266 or email policereports.info@phila. If you were injured and not at fault, contact us here.

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.

Minor auto accidents typically involve slight damage to the vehicle that does not impede the vehicle's ability to operate or cause severe injuries. Examples of minor auto accidents may include: A slight fender bender. Busted headlight/ taillight.

Reportable Accidents A reportable accident is one involving one or more of the following: Death of a person. Personal injuries which require medical attention.

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Accident Report File Form (form 10) In Philadelphia