North Carolina Confidential Report of Accident Investigation

State:
Multi-State
Control #:
US-AHI-277
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is a confidential accident investigation that is performed by the company once an injury has occurred.

How to fill out Confidential Report Of Accident Investigation?

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FAQ

The investigation should officially start within a period of 7 days and finalised as soon as is reasonably practicable, or within the contracted period in the case of contracted workers. An employer must ensure that the incident (record) be examined by the health and safety committee.

Elements of an incident investigation include: preparation, on-site investigation and development of a report, with recommendations for prevention. Provide training to investigators, including management, workers, safety committee members and union representatives.

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

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.

There are several methods used to gather information about an incident:Examine the site.Take photographs.Make sketches.Interview people.Let modern technology help.

It should include:the names and positions of the people involved.the 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.a description of the injuries.

4-Steps to Manage Incident (Accident) InvestigationsPreserve and document the scene.Collect Data.Determine root causes.Implement corrective actions.

There are several methods used to gather information about an incident:Examine the site.Take photographs.Make sketches.Interview people.Let modern technology help.

Confidentiality. You are welcome to report an incident anonymously. If you would like someone to follow-up with you about the progress of your incident report however, you would need to provide contact information.

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North Carolina Confidential Report of Accident Investigation