• An accident is an unplanned event that results in an injury or could have resulted in an injury or results in damage to equipment or property. Anyone can complete an accident report form. Once completed the form should be sent to the Health and Safety manager at Silverhills.

Details of any Injured Person

  • Full Name

  • Status

  • Address & Postcode if a Subcontractor or Visitor

  • Telephone number &/ contact details

Details of accident / incident

  • Date of occurrence

  • Time of occurrence

  • Location of occurrence

  • What happened. Give cause (how & why) if known

  • Photos if applicable

Nature of Injury

  • Details of injury

  • Treatment given

  • Treatment given by

  • Taken to hospital

  • Which hospital, & how were they taken

  • Off work as a result of their injury

  • If Yes, for how many days

  • Any further information

Environmental Conditions

  • Weather

  • Wind speed

  • Any other remarks

  • Photos if applicable

Details of person completing this report

  • Full Name

  • Status

  • Address & Postcode if a Subcontractor or Visitor

  • Telephone number &/ contact details

  • Signature

  • Date

For completion by the company Health and Safety Officer

  • Accident / Incident investigated Yes / No

  • Written investigation report necessary Yes / No

  • Written investigation report completed Yes / No

  • RIDDOR reportable Yes / No

  • If Yes, date reported:

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