Employee Incident Report Form

Employee Incident Report Form Template for England and Wales

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Key Requirements PROMPT example:

"I need an Employee Incident Report Form for a manufacturing company with 500+ employees, compliant with RIDDOR regulations, that includes specific sections for machinery-related incidents and chemical exposure documentation."

Document background

The Employee Incident Report Form is a crucial document required under English and Welsh law for recording and reporting workplace incidents. It serves as an essential tool for compliance with health and safety regulations, including RIDDOR 2013 and the Health and Safety at Work Act 1974. The form should be completed promptly following any workplace accident, injury, near-miss, or dangerous occurrence. It captures vital information needed for internal investigation, regulatory reporting, and implementing preventive measures to avoid future incidents.

Suggested Sections

1. Incident Details: Date, time, location, and type of incident

2. Personal Information: Details of affected employee(s) and witnesses

3. Incident Description: Detailed account of what happened

4. Immediate Actions Taken: Response measures and first aid provided

5. Reporter Information: Details of person completing the report

Optional Sections

1. RIDDOR Reporting Section: Additional section for incidents that meet RIDDOR reporting criteria requiring HSE notification

2. Medical Assessment: Section for recording details of medical examination or treatment when medical attention was required

3. Equipment Involved: Section for documenting details of any machinery or equipment involved in the incident

Suggested Schedules

1. Witness Statements: Additional detailed accounts from witnesses

2. Photographs/Evidence: Visual documentation of incident scene or injuries

3. Risk Assessment Review: Updated risk assessment following incident

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

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Employee Incident Report Form Template for England and Wales

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