Audit

Details about the person who had the accident

Name

Address

Contact number

Details about the person filling in the record

Name

Department

About the accident
Date & time of the accident

Location

How the accident happened along with cause

Injury sustained

Sing once completed
Once completed please email to Maintenance Manager, Operations Manager and Steve Mason.
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.