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  • Health and Safey Incident Report - Written Assignment

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    Gracie Sproles
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    The document provides a template for an internal incident report that organizations can use to document incidents. It includes fields to provide details of the incident such as a brief statement, who reported it and their contact information, date and time of occurrence, location, type of incident, contributing factors, outcomes, and corrective measures taken. Reporters are also asked to provide citations or resources as part of the report.

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    Health and Safey Incident Report _ Written Assignment - Copy (1)

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    The document provides a template for an internal incident report that organizations can use to document incidents. It includes fields to provide details of the incident such as a brief statement, who reported it and their contact information, date and time of occurrence, location, type of incident, contributing factors, outcomes, and corrective measures taken. Reporters are also asked to provide citations or resources as part of the report.

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    © All Rights Reserved
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    6 views1 page

    Health and Safey Incident Report - Written Assignment

    Uploaded by

    Gracie Sproles
    The document provides a template for an internal incident report that organizations can use to document incidents. It includes fields to provide details of the incident such as a brief statement, who reported it and their contact information, date and time of occurrence, location, type of incident, contributing factors, outcomes, and corrective measures taken. Reporters are also asked to provide citations or resources as part of the report.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    The document below is an example of a basic internal incident report that can be found in industry.

    Please research an incident and fill out the following report for your written assignment. Your
    answers must be a summation in your own words. Please remember to provide your
    resources/citations in the space below. Items in Yellow are mandatory for full credit*

    Brief statement of the Incident:

    Reported by: Department:

    Email: Phone:

    Date of Occurrence: Time:

    Exact Location:

    Accident ☐ Incident ☐ Near miss ☐ Violence ☐ Ill health ☐ Safety ☐


    What happened? Report any details that may have contributed to the incident (i.e., poor lighting).

    Describe the outcome: harm/health effects/damage

    Describe corrective measures taken to address immediate hazards related to incident.

    Resources/Citations:

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