endobj stream When an employee is involved in a work-related accident or illness, the employer is responsible for filing the first report of injury (FROI) to begin the claims process. However, accidents are sometimes inevitable. >%q9�}!�]蹠=���P7u⮪�$,:U%7��n��@��Z/hU$��ї;x���c��W�A��r|��bLM{D&�P=����t�p� It can be modified as an incident reporting policy as needed. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Policy and Procedures: Incident Reporting June 2018 2 • Date and place the incident occurred • The duration of the incident • An indication if the incident was directly observed or was reported to the author. Sample Accident Reporting Policy. • The name(s) of those notified of the incident • Follow-up action taken in response to the incident… �T%R�c(�>x��}��R"M��f�s��� -��lȫ��|I޶�n���S,]_5bfZ�}ٳ�)Y�j7uI�mӃ�d`��!�t�n+��v��C�l���k�ޮ�;�/T�O�?V� �;H�|��mY-*2��aU3z~���������er`�o���*�(/>�ia�>%�#&��U�cR�(cw����*�`aכ��_ $���7�����B�9ٽ~?IԚę��J��yq/޼l�q�hH�1�����[��Z61߶�������|+���-|���r�wL (x\W�Q� �.�D]?�[>R zY��Ih����{��zXŲ'_�a�S3%�����De�:DZK�C�i��u7p��g����rΑ������j���K�X>:!_��3���!K��ߴx�)V�-�M������^�b�NJ�C�����m���n�����c˻�/�u6���]��Z�6���'��. Easily Editable & Printable. %PDF-1.7 << /Type /Page /Parent 1 0 R /LastModified (D:20201128071611+00'00') /Resources 2 0 R /MediaBox [0.000000 0.000000 612.000000 792.000000] /CropBox [0.000000 0.000000 612.000000 792.000000] /BleedBox [0.000000 0.000000 612.000000 792.000000] /TrimBox [0.000000 0.000000 612.000000 792.000000] /ArtBox [0.000000 0.000000 612.000000 792.000000] /Contents 11 0 R /Rotate 0 /Group << /Type /Group /S /Transparency /CS /DeviceRGB >> /Annots [ 6 0 R 7 0 R ] /PZ 1 >> Sample Accident Reporting Policy This Accident Reporting company policy sample is ready to be tailored to your company’s needs and should be considered a starting point for setting up your employment policies. This customizable FROI template comes ready for employees to enter personal information, the type of accident, the names of all witnesses, the incident location, prevention … Available in A4. %���� 2 0 obj Accident Reporting company policy sample. endobj @ �`Q*|51)*%+R\�]/ 7����k8���vT���b�,*���k������A���|cV4�&DbuT8��b�e�D0���1��P�V�y ��GA�[�4@NE/�A is ready to be tailored to your company’s needs and should be considered a starting point for setting up your employment policies. <>/Metadata 80 0 R/ViewerPreferences 81 0 R>> The company is committed to enforce all health and safety guidelinesto avoid such occurrences and expects employees to comply. x��[Ks�8����Gi˦�~l�\���$S5;������� �cYrH�^���HB�hm4b�D�@���������RS�k����G�e>W����J��ӟ�o���9+�R�����A�ϫ�V���t}%~�������4�+�,r_���d�(����!��'��OO.>{��7���� 1 0 obj This . H{�����с4����~ �z�㨂w|�Q�kIq0WǏA�l����+>:~E)\�� �[L�4�J�}� M��z{ j �H́I�M��Kk�L�К%�)D��@��Ϫ���m���r��H�:ڭv�x�+�Ȟ���@"��t0 Zb-Bw:�p Ű��jҐ-$��/�"q߼��l�*X3F1�>�\�t�Zm��]m�i�#�h�)*P͵n�"�x���l�����G�@�xT,�����ac������X/�虌t.��NQm1\�Q�XC�*ٜs�Q�Y��6�G\��ϟ�e�~ ߏ���{ �Bo���Ŵ��Uf�L�D��i��.$2D������N�C�!�(������{7�Ih�M`����>�.��i�kS��8��$���P�O$Q�^��`Da�a�0Y;���^>%��[,�b���Q?t�8�{�}a49~�b'���gL��5�.�}7 �R䵵�U UHl�o�6�T2�R$���. 10 0 obj Incident Report Templates The reason why a company would require an accident policy is that should any type of accident occur within the workplace, employees will know what to do in order to prevent the problem from escalating. Sample Accident Investigation Policy • An injury or illness that does not require professional medical treatment or lost time from work will be classified as an incident. <> Our accident reporting company policyis designed to outline the purpose and procedure for reporting any on-the-job accidents. Instantly Download Accident Report Templates, Samples & Examples in Microsoft Word (DOC), Google Docs, Apple (MAC) Pages. <> stream endobj 4 0 obj Quickly Customize. )+����@J�-�ȗ��4��1}��|�����r�c[��������#~��� Employee’s First Report of Injury Form Template. ��F;iZ���K9i���e��$g*�+��߮���5����k��_����jI|��a�0p���B�`-|���K/��z�{�%�5���2����~��$��c�fp?���F/{\���0O�߯x>�\3?�G�"���|�e�Z�ǟy|#���*i�8lC�UD�e�����Kơ���� ogN��/ ��v��|�Rڀ�~�+���c��aF�9�"'�{d�v� ����O�x��9�� ���o������{K�~��.W��y4Z�z|� #��~1� s�B��x�P7F��w�~�����b����y�e��o*H}sPiQ�g@���Ǟ;z����S��9�`CT����x�#\&�����g Sx#�`����s�%#���WzT��F=� ����po�',��q�,�%(�2r��n�J�ȿVx)q�C��=�3ω��U,A��� ^Y��LL�^p6G�$)�'~%��>_�0�T��,W*��y#���*��Dl���_�Uɺj�)&��R�(��)Ƀ�p����*�e���\N�Qk2y�~���K��fg�b�����<2�(W�? ���N�� r�T�?��_�1�`f1�o�����ɷ��)�==�� �}z��c ?ˋ�]�O�LȄ��r�����OU�e��?�G~�G1 �����Ram��)+����R�������m�?���ۯ��d½�҃}=8��l��Cm�%Ð��˶��Z&Fd�f�4����%���w������J��[�vC�,ٿۺ*n?��]~M�|�4DO��~��'�G���D�=t���gw���l�.1RM6q�w6�AѮ���]�~? Accident Reporting Policy – RIDDOR Introduction The aim of this policy is to describe the action to be taken by employees in response to major injuries, dangerous occurrences, minor injuries, other incidents, near misses, and occupationally acquired diseases. 3 0 obj Policy Statement <>