The Employee Incident Report Form is a crucial document required under Singapore's workplace safety regulations. It serves as an official record of workplace incidents, accidents, or near-misses, enabling proper documentation and follow-up actions. This form must be completed whenever an incident occurs that affects employee safety or health, property damage, or operational disruption. The document helps organizations comply with Ministry of Manpower (MOM) reporting requirements, facilitate insurance claims, and implement preventive measures. It supports systematic incident tracking and analysis while ensuring compliance with Singapore's workplace safety legislation.
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1. Incident Information: Basic details including date, time, location of incident
2. Employee Information: Details of affected employee(s) including name, ID, department, role
3. Incident Description: Detailed account of what happened, including sequence of events
4. Injury/Damage Details: Nature and extent of any injuries or damage caused
5. Immediate Actions Taken: Steps taken immediately following the incident
6. Witness Information: Details of any witnesses to the incident
1. Medical Treatment Details: Information about medical attention provided - use when medical treatment was required
2. Equipment/Machinery Involved: Details of any equipment or machinery involved in incident - use when incident involves equipment or machinery
3. Environmental Conditions: Description of environmental factors - use when environmental conditions contributed to incident
4. Third Party Involvement: Information about any third parties involved - use when incident involves external parties
1. Witness Statements: Detailed statements from witnesses
2. Photographs/Videos: Visual evidence of incident scene, injuries, or damage
3. Medical Reports: Copies of any medical reports or certificates
4. Safety Equipment Records: Documentation of safety equipment status if relevant
5. Training Records: Relevant training certificates or records of affected employees
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