Injury reported 2026

1. Click ‘Get Form’ to open the Injury/Illness/Incident Report in the editor.
2. Begin by entering your Employee Name, Date of incident/injury/onset of symptoms, and your Phone #/Ext. This information is crucial for identifying the report.
3. Fill in the Time of Incident/Injury, Job Title, Time employee began work, and Department. These details help provide context for the incident.
4. Indicate any Days off work if applicable, along with Supervisor and Principal Investigator details if relevant.
5. In Section 1, specify the Location where the injury occurred. In Section 2, list any Witnesses to the incident.
6. Describe how the injury occurred in Section 3. Be detailed about the sequence of events leading up to it.
7. In Section 4, note the Specific activity being performed at the time of the incident. Include Equipment or materials used in Section 5.
8. Check all applicable Injury types in Section 6 and list affected body parts in Section 7.
9. Finally, suggest preventive measures in Section 8 and indicate any Clinic Visit/Initial Medical Treatment options that apply.

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