Injury Report Form

 

INJURY REPORT FORM


Quick Start

To create an Injury Report Form, complete the following:

  1. Reporting Details - enter details on company and form completed by.
  2. Injured Person - enter details on injured person, employment and working shift.
  3. Accident Details - enter details on accident including date, time, date reported, recurrence and injury details.
  4. Location and Activity - enter details on location of accident, detailed location on site, GPS co-ordinates (if known) and activity specifcs.
  5. Work Status - enter work status of injured person.
  6. Other Information - enter additional information and file attachments.
  7. Review - identify any errors preventing submission, or warnings.
  8. 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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Page Last Modified: 25-Oct-2010