Template for reporting Workplace Accidents and Dangerous Occurrences

N

nidhir

#1
Dear all,

I urgently need a templete for reporting workplace aciident and dangerous occurrence.

Thanks
Nidhir
 
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Stijloor

Staff member
Super Moderator
#3
Re: workplace accident report

I am not sure where you are in the world but this may be of interest. It is from the Health & Safety Executive (HSE) website in the UK. Click here
Colpart,

Can you provide us with some more details about this form?
Is it required to complete this?
Employer, employee responsibilities?

Very interesting.

Stijloor.
 

Colin

Quite Involved in Discussions
#4
Re: workplace accident report

Stijloor, I am a bit out of my depth with OHS but I think the employer is required to complete the form following an accident falling under the Reporting of Injuries, Diseases and Dangerous Occurrence Regulations (RIDDOR) 1995 see the HSE website for further (proper:confused:) guidance on the matter.
 

SteelMaiden

Super Moderator
Super Moderator
#5
Re: workplace accident report

Don't know if this is helpful, but here goes.
Initially, a database entry is made with:

Date and time occurred:
Incident number assigned to this case:
Supervisor:
Specific location:
Detailed Description:
Preliminary Cause:
Type of Incident:
Immediate Corrective Action (Completed: No)

Then, the incident is reviewed by our safety committee and cause determined (or verified) and long term actions are determined (counseling, something needs to be fixed, procedures need to be put into place)

Also, at the time the incident is reported there is a drug test performed. Failure to report an incident is cause for dismissal.
 

Randy

Super Moderator
#6
Re: Template for reporting Workplace Accident and Dangerous Occurrence.

Steel has it...............All we're talking about is a basic accident report form

Who
What
Where
When
How
Why

Can't get any simpler.
 
N

nidhir

#7
Re: Template for reporting Workplace Accident and Dangerous Occurrence.

Dear members,

You have all been very helpful and I will use the uk hse reporting form as a guide and your comments to develop something specific to our needs.
Thank you very much

Cheers
Nidhi:)
 
S

samsung

#8
Re: Template for reporting Workplace Accident and Dangerous Occurrence.

Dear members,

You have all been very helpful and I will use the uk hse reporting form as a guide and your comments to develop something specific to our needs.
Thank you very much

Cheers
Nidhi:)
Since reporting of a 'Dangerous Occurrence' within the specifies period of time, is a legal requirement, it has to be reported in the 'Form' prescribed by the concerned regulatory agency. So, in your case (i.e.; in India), you are required to use the Form # 25 or 26 (as the case may be) as prescribed by the DGFASLI. Here it goes.
 

somashekar

Staff member
Super Moderator
#9
Re: Template for reporting Workplace Accident and Dangerous Occurrence.

Since reporting of a 'Dangerous Occurrence' within the specifies period of time, is a legal requirement, it has to be reported in the 'Form' prescribed by the concerned regulatory agency. So, in your case (i.e.; in India), you are required to use the Form # 25 or 26 (as the case may be) as prescribed by the DGFASLI. Here it goes.
And if I am correct this return must be filed monthly to your inspector of factories even if NO workplace accident and dangerous occurrence has occurred. ie. NIL returns monthly in the prescribed form no.
 
S

samsung

#10
Re: Template for reporting Workplace Accident and Dangerous Occurrence.

And if I am correct this return must be filed monthly to your inspector of factories even if NO workplace accident and dangerous occurrence has occurred. ie. NIL returns monthly in the prescribed form no.
No, I don't think so. It's required to be filled in & submitted to the Inspectorate only when an incident has occurred. Only two of the returns are required to be furnished in From 29 & 30 on regular intervals.
Rule prescribed under section 110
125. Returns
The manager of every factory shall furnish to the Inspector or other officer appointed by the State Government in this behalf, following returns in the form and within the due dates specified below :-
(a) annual return in Form 29 , in duplicate , on or before the 31st January of each year; and
(b) half-yearly return in Form 30, in duplicate, on or before the 15th July of each year.
 
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