Maryland 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

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.

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.

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.

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...?

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.

Details of accidents that must be recorded include:The date and time on which it occurred.The person who was injured.Any witnesses.The type and nature of the injuries sustained.The cause and full circumstances of the accident.

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.

Generally, you are obligated to complete an incident report form for every incident however minor, and keep a record of every workplace accident (called a 'Register of Injuries' in NSW). At a minimum, this must be available at all times, and each report should contain the following information: Name of injured worker/s.

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

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Maryland Hazard Investigation Report