Accident Report File Form (form 10) In Virginia

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

The Accident Report File Form (form 10) in Virginia serves as a crucial document for outlining the details of any workplace accidents or injuries. It requires specific information, such as the injured employee's name, job title, injury date, and a thorough account of the accident's circumstances. The form emphasizes the necessity of immediate completion and submission to Human Resources within 24 hours of the incident. It contains sections to describe the injury, medical assistance provided, and witnesses present at the time of the accident. Attorneys, partners, owners, associates, paralegals, and legal assistants can utilize this form to document incidents accurately, ensuring compliance with workplace safety regulations. It aids in potential legal evaluations and claims by providing a clear record of events and contributing factors. Additionally, it serves as a protective measure for employers by ensuring protocols are followed and necessary information is captured promptly. Proper filling of the form is essential, and users should pay attention to detail and accuracy in their reporting.

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FAQ

The accident report is not a public document, but many people can obtain a copy on request. The DMV will release it to involved drivers, passengers, and anyone else injured in the incident, such as a pedestrian or cyclist.

Employees who suffer on-the-job injuries and diseases may be eligible for benefits under the Virginia Workers' Compensation Act. If injured, you should (1) report your injury to your employer immediately; and (2) file a claim with the Commission no later than two years after the accident.

When you are involved in a relatively minor automobile accident with property damage to the vehicles estimated at less than $1,500 and no injuries reported at the scene, the officer will most likely designate it as a “non-reportable” accident.

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).

§ 46.2-371. Driver to give immediate notice of certain accidents. The driver of any vehicle involved in any accident resulting in injury to or death of any person, or some person acting for him, shall immediately give notice of the accident to a law-enforcement officer.

Tell what the injured was doing at the time of the accident. Tell what happened and how it happened. Name any objects or substances involved and tell how they were involved. Give full details on all factors which led or contributed to the accident.)

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.

What Should I Include In An Accident Report? Date, time, and location . Parties involved, including insurance information. Injuries and damages. Witness statements and contact information. Sequence of events – describe what happened. Photographs and sketches.

California Workplace Injury Reporting Timelines Under California law, workers have 30 days to report an on-the-job injury to their employers.

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Accident Report File Form (form 10) In Virginia