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Use separate line for each Note all roles that apply per person i.e. staff/participant client/witness - identifiable abbreviations acceptable Include addresses phones of non-DHS persons Use designated space at bottom of page to provide additional information as needed Role s Name Address Phone if non-DHS person 7 CLEAR CONCISE NARRATIVE DESCRIPTION Include known essentials of who what when where why and how regarding incident 8 SHOULD/COULD THIS INCIDENT HAVE BEEN PREVENTED/ANTICIPATED YES NO I ...

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How do I fill out an incident form?

Provide date and time of the incident and when it was first reported, details of witnesses, and a succinct statement describing the events leading to the incident, the details of the incident, the type of work being undertaken, any hazards involved in the work and any personal protective equipment being used.

What are the five rules of incident report writing?

5 Simple Rules for. 1 - Make it Accessible. Incident Reporting. 2 - Make it Relevant. Any solution you use should be relevant and adaptable to your. individual needs. Every organisation is different so why should. 3 - Make it Known. 4 - Make Time to Train. 5 - Make it Work Hard.

What should be on an incident report form?

Basic Incident Information the names of any witnesses. the exact location and/or address of the incident. the exact time and date of the occurrence. a detailed and clear description of what exactly happened.

How do you document an incident at work?

When How to Document Workplace Injury Get to the site as quickly as possible. Ensure the area is safe to enter. Make sure the injured/ill person is receiving first-aid or medical attention. Identify any witnesses. Record the scene with photos (ideally with date and time stamp) or sketches. Safeguard any evidence.

When should an incident be documented at work?

Incident reports should be completed immediately after a near miss, unexpected, awareness, or adverse events have occurred. This ensures that the involved individuals or witnesses can recall the details of the occurrence with clarity to fill the report form accurately.

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How do you document a workplace incident?

What to include in a work incident report The date and time of the incident. The name of the witness or author of the report. A detailed description of the events. The names of the affected parties. Other witness statements or important information. The result of the incident.

What are the 4 types of incidents?

Another approach would be to have four types: Accident, Notifiable Accident, Incident and Notifiable Incident.

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