How to use or fill out Were SDSURF employees injured with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the 'General Information' section. Indicate whether SDSURF employees were injured and if a police report was taken. Provide the project/grant number and a contact phone number.
- In the 'Describe Incident' field, detail how the accident occurred, including the date and time of the incident.
- If applicable, complete the 'Information about Injured Person(s)' section with names, addresses, phone numbers, and details of injuries sustained.
- Fill in 'Personal Insurance Information' for each injured person, including their email address.
- Document any medical or first aid provided by entering the name of the doctor or hospital, along with their address and contact information.
- Complete the 'Witness Information' section if there were witnesses to the incident. Include their names, addresses, emails, and phone numbers.
- If there was property damage, provide details in that section regarding type and location of property affected.
- List controls that were in place to prevent incidents and indicate whether all controls were followed. Suggest ideas for preventing similar incidents in the future.
- Finally, complete the 'SDSURF Project Supervision Section' by printing your name as completed by, providing your email address, notes if necessary, phone number, date completed, and fax number.
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