In: Nursing
The ZQR manufacturing company experience tragic accident in the
early hours of the day.
You have been appointed the head of Occupational health and safety
in ZQR. Report the details of the accident to management using the
form below. Appraise management on the need to adopt health and
safety practices in an organization.
ACCIDENT/INCIDENT INVESTIGATION
REPORT FORM
Project Name: |
Project Location: |
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Completed By: |
Date: |
Accident Date: |
Time: |
Personal Injury |
Property Damage |
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Name: |
Property Damaged: |
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Employee#: |
Hire Date: |
Nature of Damage: |
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Performing Regular Job: |
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Type of Injury: |
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Nature of Injury: |
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Part of Body Injured: |
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Description of Accident: (What occurred? Include photos and diagram.) |
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Cause of Accident: (How and why did it occur. Documentation to support training.) |
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Witnesses: (Anyone who may have seen the accident occurred. Name, company, phone#) |
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Corrective Actions: (Actions taken to prevent recurrence.) |
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Investigation form
Project name: ZQR manufacturing company
Project Location: Mount square
Completed By: Grey
Date:18/10/20
Accident Date:18/10/20
Time: 8 am
Personal Injury: abrasion in the right forearm and wrist
Property Damage: damage of the front wall of the company
Name: Prasu
Property Damaged: two wheeler which was parked outside
Employee#: contract employee
Hire Date:12/09/20
Nature of Damage: moderate damage,
Performing Regular Job:yes
Type of Injury: sprain injury
Nature of Injury: sprain to the ankle as well as a lacerated wound in the right foot
Part of Body Injured: right leg and foot
Description of Accident: In the morning while Prasu and I was talking about the work need to be completed, at that time the levelling machine which was kept in the third floor, accidentally fell down over the wall and the vehicle,
Cause of Accident: poor house keeping
Witnesses:Mr xavy
Corrective Actions: Install a new steel sheild covering the top floor to the ground floor between building and wall.