Puerto Rico Accident - Injury Report

State:
Multi-State
Control #:
US-429EM
Format:
Word; 
Rich Text
Instant download
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Description

This form is used to document accidents and/or work-related injuries.

How to fill out Accident - Injury Report?

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FAQ

The Log of Work-Related Injuries and Illnesses (OSHA Form 300), 2022 the Summary of Work-Related Injuries and Illnesses (OSHA Form 300A), and 2022 the Injury and Illness Incident Report (OSHA Form 301). Employers must fill out the Log and the Incident Report only if a recordable work-related injury or illness has occurred.

Gather the FactsIdentify the Other Driver. Regardless of who caused the accident, you and the other driver need to exchange names and insurance information.Vehicle Information.Identify the Witnesses.Photograph the Scene.Give a Chronological Account of What Happened.Include the Witness Statements.Conclude the Report.

When it comes to filling out an accident report form, you would need to ensure the following information: The injured party's contact details which must include their full name, address and telephone number as well as their email address, gender and date of birth.

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...

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.

The types and average number of employees included in OSHA 300A logs....Total Hours WorkedDetermine your number of full-time employees over the course of the year.Multiply your number of full-time employees by the number of hours worked by said employees.Add to this number any overtime hours.

All employees on the payroll are covered. The employer is required to record on the OSHA 300 Log the recordable injuries and illnesses for all employees on its payroll, including hourly, salaried, executive, part-time, seasonal, or migrant workers.

What Does an Incident Report Need to Include?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.Injuries, if any.More items...?

Once you create your account, you can login and report your Form 300A data on an annual basis. Each year the data is due by March 2nd. To create an ITA account, go to and click the Create an account link that is right below the Injury Tracking Application banner.

How to Complete the OSHA Form 300Step 1: Determine the Establishment Locations.Step 2: Identify Required Recordings.Step 3: Determine Work-Relatedness.Step 4: Complete the OSHA Form 300.Step 5: Complete and Post the OSHA 300A Annual Summary.Step 6: Submit Electronic Reports to OSHA.Step 7: Retain the Log and Summary.

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Puerto Rico Accident - Injury Report