Information
-
Audit Title
-
Document No.
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
1. What is the injured associate’s name?
-
2. What happened (as much detail as possible to avoid follow up questions)?
-
Add media
-
Add media
-
3. Who called in the injury?
-
4. Was professional medical attention required, and if so, when do we expect the injured associate to return to work?
-
5. What was the root cause?
-
6. What is the suggested corrective action?