Michigan Hazard and Incident Report Form
Description
How to fill out Hazard And Incident Report Form?
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FAQ
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.18-Jan-2021
'Hazard': an object or situation that has the potential to harm a person, the environment or cause damage to property. 'Incident': any unplanned event resulting in, or having a potential for injury, ill health, damage or other loss. 'Injury': any physical or mental damage to the body caused by exposure to a hazard.
Incident reporting is the process of recording worksite events, including near misses, injuries, and accidents. It entails documenting all the facts related to incidents in the workplace. Incidents are generally accidents or events that cause injuries to workers or damages to property or equipment.
An incident report is a tool that documents any event that may or may not have caused injuries to a person or damage to a company asset. It is used to capture injuries and accidents, near misses, property and equipment damage, health and safety issues, security breaches and misconducts in the worksite.
Any other person (not an employee) was injured or became ill as a possible result of actions caused by the company or an employee. an employee was in a motor vehicle accident while driving for their job. a near-miss occurred that could have resulted in injury, death, or property damage.
A concise but complete description of the incident Include details about what happened before the incident, the incident itself, and actions that were taken immediately after. If you are writing down your opinion of what caused the incident or what you think happened, be sure to note that it is an assumption.
'Hazard': an object or situation that has the potential to harm a person, the environment or cause damage to property. 'Incident': any unplanned event resulting in, or having a potential for injury, ill health, damage or other loss.
A Hazard Report is designed to help employees draw attention to current and potential hazards in the workplace. Depending on the nature of the business, and the role of the employee, there is a vast range of use cases where hazard reports can be used.
1. Find the FactsDate, time, and specific location of incident.Names, job titles, and department of employees involved and immediate supervisor(s)Names and accounts of witnesses.Events leading up to incident.Exactly what employee was doing at the moment of the accident.More items...
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.
