INJURY REPORT FORM
Quick Start
To create an Injury Report Form, complete the following:
- Reporting Details - enter details on company and form completed by.
- Injured Person - enter details on injured person, employment and working shift.
- Accident Details - enter details on accident including date, time, date reported, recurrence and injury details.
- Location and Activity - enter details on location of accident, detailed location on site, GPS co-ordinates (if known) and activity specifcs.
- Work Status - enter work status of injured person.
- Other Information - enter additional information and file attachments.
- Review - identify any errors preventing submission, or warnings.
- Submit Notification - the completed notification is submitted for processing on clicking the <Submit> button.
- Ensure compulsory fields marked '*' are completed.
- Navigate through the steps using the <Previous> and <Next> buttons or the Wizard steps on the left.
Additional Information on Notification Bar

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