West Virginia Injury Report Form
Description
How to fill out Injury Report Form?
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FAQ
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.
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.
?For information or to obtain a Vehicle Crash Report, please call (304) 746-2128. For Motor Vehicle Inspection questions please call (304) 746-2125.
What should you include in an incident report? When & where did it happen? Your report should contain the date, time and location where the accident took place. ... Who were involved? ... What did they do? ... Why did it happen? ... Were there any witnesses? ... What is the extent of damage to a person or property?
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.