SUPERVISORS INJURY INVESTIGATION REPORT 2026

1. Click ‘Get Form’ to open the SUPERVISORS INJURY INVESTIGATION REPORT in the editor.
2. Begin by filling out the Employee Information section. Enter the employee's name, UID number, job title, home department, date and time of injury, and location of injury. Ensure all details are accurate for proper documentation.
3. In the Injury Information section, describe how the injury occurred in detail. Include all contributing factors and list any body parts injured. If another person was involved or if there were witnesses, provide their names and roles in the incident.
4. Complete the Corrective Action section by indicating whether the employee has returned to work and if the incident was discussed with them. Provide suggestions on how to prevent similar incidents in the future.
5. Finally, ensure that a supervisor or administrator prints their name, signs, and dates the report before submitting it to Human Resources within three days of the injury.

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