Massachusetts Hazard Investigation Report

State:
Multi-State
Control #:
US-AHI-288
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is used to document a hazard investigation report. This form identifies potentially.
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FAQ

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.

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.

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...?14-Jun-2021

Investigate the incident, collect data. Analyze the data, identify the root causes. Report the findings and recommendations.

The location of the incident; Conditions at the scene such as temperature, light, noise, weather; A summary of events leading up to the injury/illness, the task that the worker was performing when the incident occurred; Root causes of the incident.

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...?

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.23-Mar-2022

Facts related to the incident include:The Basics. Identify the specific location, time and date of the incident.The Affected. Collect details of those involved and/or affected by the incident.The Witnesses.The Context.The Actions.The Environment.The Injuries.The Treatment.More items...?

Basic Informationthe 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.

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Massachusetts Hazard Investigation Report