This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
North Dakota Student Accident Report Form
Category:
State:
Multi-State
Control #:
US-02520BG
Format:
Word;
PDF;
Rich Text
Instant download
Description
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How to fill out Student Accident Report Form?
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FAQ
Provide date and time of the incident and when it was first reported, details of witnesses, and a succinct statement describing the events leading to the incident, the details of the incident, the type of work being undertaken, any hazards involved in the work and any personal protective equipment being used.
Keep in mind that these three considerations are not to be confused with the three 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.
Instant access to crash reports is available through an online request at .dot.nd.gov/crashreport. This system replaces the mail-in request form, which is no longer accepted. Crash reports cost $7. A state-reportable crash is one that involves an injury, a fatality, or at least $4,000 in total damage.
Every incident report you file should contain a minimum of the following: Type of incident (injury, near miss, property damage, or theft) Address. Date of incident. Time of incident. Name of affected individual. A narrative description of the incident, including the sequence of events and results of the incident.
Accident report forms should include fields for names and contact information of the individuals and witnesses involved, the type of accident, the date and time the accident occurred, the location of the accident, a detailed description of the accident, and room for any additional comments.
Writing any incident report involves four basic steps. Respond Immediately. Employees should notify their supervisor as soon as an accident or injury occurs. ... Find the Facts. ... Analyze. ... Complete Corrective Action Plan.