Tool 5 : Accident or Incident Record Form - hsa 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Injured Party Details' section. Enter the surname, first name(s), address, date of birth, sex, and status (tick the appropriate box).
3. Next, specify the 'Date of Accident/Incident' and 'Date Accident/Incident reported to school management'. Ensure accuracy as this information is crucial for reporting.
4. In the 'Type of Accident' section, tick all applicable boxes that describe how the accident occurred. This helps in understanding the circumstances surrounding the incident.
5. Proceed to indicate which part of the body was injured and select the type of injury sustained by ticking relevant options.
6. Fill out the 'Consequences' section by selecting anticipated absence duration and whether the accident has been reported to relevant authorities.
7. Provide a detailed description of the accident in the designated area. Include specifics about activities being carried out and any equipment involved.
8. Finally, ensure that all necessary attachments are included before signing off as an investigating staff member.

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