Title Page
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Accident description
Accident Form
Details about the person who had the accident
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Is the injured person at the scene and able to give details?
Details about the person filling in the record
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name
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Department
About the accident
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Name of the person who had the accident
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Contact details of the person that had the accident
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Date and time of the accident
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Location
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How the accident happened along with the possible cause
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Injury sustained
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Any other notes
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If applicable a picture of the cause of the accident (not the injury)
Sign once completed and send a copy to the site Manager and Head Of Facilities
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Sign once completed
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Give basic details of accident
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Date and time of the accident
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Sign as completed
