OCCUPATIONAL ACCIDENT EXPOSURE ILLNESS REPORT 1 2025

1. Click ‘Get Form’ to open the OCCUPATIONAL ACCIDENT EXPOSURE ILLNESS REPORT 1 in the editor.
2. Begin by entering the Employee Name, Extension, and Department in the designated fields. This information is crucial for identifying the individual involved.
3. Fill in the Date and Time of Incident or Onset of Illness. Accurate timestamps help in tracking incidents effectively.
4. Indicate any Days Off Work if applicable, along with Supervisor and Principal Investigator details if relevant.
5. In Section 1, describe where the incident occurred, including specific locations like buildings or departments.
6. List any Witnesses to the incident in Section 2 to provide additional context.
7. Detail how the incident occurred in Section 3, ensuring clarity for future reference.
8. Specify the procedure being performed at the time of the incident in Section 4.
9. Select the Type of Injury from options provided in Section 5 and specify which Body Part was injured.
10. Complete Sections 7 and 8 by detailing equipment used and causes of the incident respectively. Check all that apply for thoroughness.
11. If applicable, answer questions regarding sharp injuries and exposure to pathogens as outlined in Sections 9 through 14.
12. Finally, provide insights on what could have prevented the incident in Section 15 before signing off with your name and date.

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