Hawaii Confidential Report of Accident Investigation
Description
How to fill out Confidential Report Of Accident Investigation?
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FAQ
Investigate the incident, collect data. Analyze the data, identify the root causes. Report the findings and recommendations.
Description of the incident, including specific job site location, the sequence of events, and the results of the event. Whether or not proper PPE was being used. The root cause(s) of the incident. Associated hazards raised and resolved following the event.
Keep in mind that these 3 considerations are not to be confused with the 3 requirements for writing an incident report:The report must be factual and without assumption.An incident report must be accurate and without bias.The incident report must be complete.
Accident Investigation Report TemplateGather information regarding people involved in the accident.Record accident details and describe consequences.Take optional photos for more context.Record witness statements if applicable.Recommend actions to avoid accident reoccurrence.
As a result an Accident Book or some equivalent means of recording accidents is needed. The Accident Book (BL 510) was introduced to meet the requirements of the Data Protection Act (DPA). Basically it allows individual records to be removed and stored confidentially.
4 Steps for Writing an Effective Accident ReportDate, 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.More items...?
How to Conduct an Accident InvestigationStep 1: Assess the Injury.Step 2: Obtain Medical Treatment if Necessary.Step 3: Interview Injured Employee and Witness(es)Step 4: Observe Accident Scene and Analyze the Facts.Step 5: File a Workers' Compensation Claim.Step 6: Follow Up.Step 7: Corrective Action.
The report must include: Their personal details (name, job title, phone number). The details of their company (name, address, email). The location, date and time of the incident. The personal details of the person(s) involved (name, job title, etc.).
When it comes to filling out an accident report form, you would need to ensure the following information: The injured party's contact details which must include their full name, address and telephone number as well as their email address, gender and date of birth.
8 Items to Include in Incident ReportsThe time and date the incident occurred.Where the incident occurred.A concise but complete description of the incident.A description of the damages that resulted.The names and contact information of all involved parties and witnesses.Pictures of the area and any property damage.More items...?
