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Incident reports are essential for enhancing care quality and workplace safety by identifying accidents and near-misses. They can reveal training gaps and necessary changes in practices. In addition to internal reports, OSHA mandates that employers log and report all incidents leading to death, serious injury, or hospitalization. OSHA officers ensure employers accurately complete and store injury and illness records, which must be retained for five years. Organizations should design their incident reporting systems to promote accuracy, clarity, and completeness. Reports must be filed for any unexpected incident, including injuries or situations that could potentially harm staff, visitors, or patients, as well as potential exposures to infectious or hazardous materials.