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Accident Incident Reporting - University of Manitoba

Accident Incident Reporting - University of Manitoba 2025

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The document is a Notice of Injury form for reporting workplace injuries at the University of Manitoba. It outlines the process for completing Worker’s Compensation reports, including necessary personal and health information collection under relevant laws. The form requires details about the injured person, the incident, and any medical attention sought. It also provides contact information for reporting claims and inquiries regarding personal information handling.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the 'Name of Injured Person' and 'Department' in the designated fields. Ensure accuracy as this information is crucial for tracking purposes.
Fill in the 'Location' where the injury occurred, followed by the 'Date of Injury' and 'Time'. Specify whether it was a.m. or p.m. for clarity.
Describe the 'Cause of Injury' and detail what you were doing at the time of the incident. This helps in understanding circumstances surrounding the injury.
Indicate what was injured, noting left or right if applicable. Answer whether you reported the accident immediately and provide reasons if not.
Complete sections regarding medical attention, including whether you have seen a doctor and their contact details if applicable.
Finally, ensure that both the supervisor and injured worker sign and date the form before distribution as outlined.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How would you report an accident or incident?

If youre having trouble getting these details from someone involved or they have left without giving details, call the police on 101 while youre still at the scene of the collision.

What is the difference between an incident and an accident?

What is the difference between accidents and incidents? An accident is an event that has unintentionally happened, that results in damage, injury or harm. An incident is an event that has unintentionally happened, but this may not result in damage, harm or injury. Therefore, every accident can be an incident.

How do I report an incident to the WCB in Manitoba?

There are multiple ways to report your injury: - Call the WCB at 204-954-4321 or toll-free 1-855-954-4321. - Fill out the Worker Online Incident Report. - Download the Worker Incident Report and send it to us via fax or mail.

What are the three types of incident reports?

Here are the main types of incident reports: Security Incident: This involves bdocHubes of physical or information security. Injury and Lost Time Incident Report: This involves documenting instances where employees are injured on the job, leading to time away from work. Exposure Incident Report: Sentinel Event Report:

What are the 5 rules of incident reporting?

What are the five rules of incident report writing? Timeliness: Always report the incident as soon as possible. Accuracy: Make sure all information provided is accurate and detailed. Completeness: Be thorough and provide all important details. Confidentiality: Handle sensitive and personal information carefully.

How do we report an incident?

How to Write an Incident Report: A Step-by-Step Guide (with Examples) Step 1: Provide Fundamental Information. Step 2: Take Note of Any Damages and Injuries. Step 3: Identify Affected Individual(s) Step 4: Identify Witnesses and Take Their Statements. Step 5: Take Action. Step 6: Close Your Report.