Incident Report and Workplace Injuries

Accident Report
What is an Accident?
 An Accident is an unplanned event that results in personal injury or property damage. This
could include:
1. Sprains: ( ‫ )إلتواء‬Overstretching or tearing the ligaments results in a sprain. Ligaments are
pieces of tissue that connect two bones to one another in a joint.
2. Strains:) ‫)عضل شد‬Overstretching or tearing muscles or tendons results in a sprain. Tendons
are thick, fibrous cords of tissue that connect bone to muscle.
3. Knee injuries: ( ‫الركبة‬ ‫ )إصابة‬Any injury that interferes with how the knee joint moves.
‫ف‬
4. Swollen muscles: (‫ ) العضالت تورم‬Swelling is a natural reaction to an injury.
5. Fractures: (‫ ( كسور‬Are also known as broken bones.
6. Dislocation: (‫( انخالع‬When that happens, a bone is forced out of its socket. This can be painful
and lead to swelling and weakness.
7. Concussion: )‫(صدمه‬ a violent shock as from a heavy blow to the head.

8. Unconsciousness: )‫أال‬ ‫ ) وعي‬not awake and aware of and responding to one's environment.
9. Lacerations: ( ‫ (تمزق‬a deep cut or tear in skin or flesh.
10. Ill-health or Sickness: )‫( الصحة اعتالل‬due to exposure to a dangerous substance, fumes or gases, fire
or explosion.
11. Sickness: (‫( مرض‬due to a chemical spill or environmental pollution.

What is the difference between an accident
report and an incident report?
 An accident report focuses on the injury.
 An incident report is intended to focus on the cause and prevention of

further occurrences.
What is an accident report form?
 The Accident Report Form is in 2 parts. The first part is completed by the employee who suffered the
accident, and the second part is completed by the supervisor.
 An accident report is an important tool used to document the accident and assist in investigating the
cause. It also assists to develop procedures that may be put in place to prevent it from happening again.
 The supplied template calls on the employee(s), with the assistance of a manager, to fill in the first page
details including:
✓ employee details
✓ injury details- including date, time and expected time off work
✓ medical treatment required
✓ events leading up to the injury- this is important to gain the employees perspective of what actually
happened.
 The second section of the form is to be completed by the manager and requires the manager to
identify the following:
✓ witness details
✓ how the accident happened
✓ how a recurrence can be prevented.
It is important to show outcomes of the investigation and to document what actions can or will be
taken to prevent another injury occurring in a similar scenario
The Manager should decide whether or not the accident should also be documented as an incident
needing further investigation.
Should your company decide to merge both the accident and incident form together into one
document then the suitability of this should be assessed at senior management level to ensure that a
detailed and documented approach to both matters is still achieved.
Useful lexical items for common workplace
injuries’ description
The following lexical items can be used to describe common
workplace injuries:
Slips, trips ( ‫ ) تعثر‬and falls
Muscle strains
Being hit by falling objects
Repetitive strain injury
collisions and Crashed ( ‫( تهشم واصطدام‬
Cuts and lacerations
fumes toxic Inhaling )‫(استنشاق دخان سام‬
Exposure to loud noise
Walking into objects
A Sample of an Accident Investigation Report Form
EMPLOYEE DETAILS
Name: Fahad
Position: Refiner operator
Address: Alsalaam Block 2 street 8
INJURY DETAILS
Date of accident: 27/2/2019 Time: 8:45 AM Location of accident: Refinery 2
Date Reported: 29/2/2019 Time: 8:00 AM
Medical Treatment required: Knee surgery and 2 weeks of hospital stay.
A sample of an Accident Investigation Report
Form
Task 1:
Complete the following Accident Investigation Report Form:
🠶 EMPLOYEE DETAILS
🠶 Name: ………………………………….
🠶 Position: ……………………………..
🠶 Address: …………………………………………………………………………..
🠶 INJURY DETAILS
🠶 Date of accident: ……………………………. Time:.................AM
🠶 Location of accident: ………………..
🠶 Date Reported: ……………….. …… Time:.................AM
🠶 Medical Treatment required:
…………………………………………………………………………………………………………………………………..
Nature and extent of injury:
□ Head □ Trunk □ Multiple
Part of body injured □ Eyes □ Arm □ General
□ Neck □ Leg □ Unspecified
□ Sprain □ Laceration □ Burn
Nature of injury □ Fracture □ Concussion □ Superficial
□ Multiple □ Dislocation □ Amputation
□ Contusion □ Other
□ Flying object □ Manual □ Electricity
Type of incident □ Struck by □ handling □ Fall
□ Caught in □ Poisons □ Other
Temperature
Describe the events leading up to the injury and how the injury occurred (witness or injured
person’s statement(.
Task 2: Complete the following Accident Investigation
Report Form ) Supervisor’s Report(:
Accident Report
 An Accident is an unplanned event that results in personal injury or property damage. This
could include:
1. Sprains: ( ‫ )إلتواء‬Overstretching or tearing the ligaments results in a sprain. Ligaments are
pieces of tissue that connect two bones to one another in a joint.
2. Strains:) ‫)عضل شد‬Overstretching or tearing muscles or tendons results in a sprain. Tendons
are thick, fibrous cords of tissue that connect bone to muscle.
3. Knee injuries: ( ‫الركبة‬ ‫ )إصابة‬Any injury that interferes with how the knee joint moves.
‫ف‬
4. Swollen muscles: (‫ ) العضالت تورم‬Swelling is a natural reaction to an injury.
5. Fractures: (‫ ( كسور‬Are also known as broken bones.
6. Dislocation: (‫( انخالع‬When that happens, a bone is forced out of its socket. This can be painful
and lead to swelling and weakness.
7. Concussion: )‫(صدمه‬ a violent shock as from a heavy blow to the head.

8. Unconsciousness: )‫أال‬ ‫ ) وعي‬not awake and aware of and responding to one's environment.
9. Lacerations: ( ‫ (تمزق‬a deep cut or tear in skin or flesh.
10. Ill-health or Sickness: )‫( الصحة اعتالل‬due to exposure to a dangerous substance, fumes or gases, fire
or explosion.
11. Sickness: (‫( مرض‬due to a chemical spill or environmental pollution.

What is the difference between an accident
report and an incident report?
 An accident report focuses on the injury.
 An incident report is intended to focus on the cause and prevention of

further occurrences.
 The Accident Report Form is in 2 parts. The first part is completed by the employee who suffered the
accident, and the second part is completed by the supervisor.
 An accident report is an important tool used to document the accident and assist in investigating the
cause. It also assists to develop procedures that may be put in place to prevent it from happening again.
 The supplied template calls on the employee(s), with the assistance of a manager, to fill in the first page
details including:
✓ employee details
✓ injury details- including date, time and expected time off work
✓ medical treatment required
✓ events leading up to the injury- this is important to gain the employees perspective of what actually
happened.
 The second section of the form is to be completed by the manager and requires the manager to
identify the following:
✓ witness details
✓ how the accident happened
✓ how a recurrence can be prevented.
It is important to show outcomes of the investigation and to document what actions can or will be
taken to prevent another injury occurring in a similar scenario
The Manager should decide whether or not the accident should also be documented as an incident
needing further investigation.
Should your company decide to merge both the accident and incident form together into one
document then the suitability of this should be assessed at senior management level to ensure that a
detailed and documented approach to both matters is still achieved.
Useful lexical items for common workplace
injuries’ description
The following lexical items can be used to describe common
workplace injuries:
Slips, trips ( ‫ ) تعثر‬and falls
Muscle strains
Being hit by falling objects
Repetitive strain injury
collisions and Crashed ( ‫( تهشم واصطدام‬
Cuts and lacerations
fumes toxic Inhaling )‫(استنشاق دخان سام‬
Exposure to loud noise
Walking into objects
A Sample of an Accident Investigation Report Form
EMPLOYEE DETAILS
Name: Fahad
Position: Refiner operator
Address: Alsalaam Block 2 street 8
INJURY DETAILS
Date of accident: 27/2/2019 Time: 8:45 AM Location of accident: Refinery 2
Date Reported: 29/2/2019 Time: 8:00 AM
Medical Treatment required: Knee surgery and 2 weeks of hospital stay.
A sample of an Accident Investigation Report
Form
Task 1:
🠶 EMPLOYEE DETAILS
🠶 Name: ………………………………….
🠶 Position: ……………………………..
🠶 Address: …………………………………………………………………………..
🠶 INJURY DETAILS
🠶 Date of accident: ……………………………. Time:.................AM
🠶 Location of accident: ………………..
🠶 Date Reported: ……………….. …… Time:.................AM
🠶 Medical Treatment required:
…………………………………………………………………………………………………………………………………..
Nature and extent of injury:
□ Head □ Trunk □ Multiple
Part of body injured □ Eyes □ Arm □ General
□ Neck □ Leg □ Unspecified
□ Sprain □ Laceration □ Burn
Nature of injury □ Fracture □ Concussion □ Superficial
□ Multiple □ Dislocation □ Amputation
□ Contusion □ Other
□ Flying object □ Manual □ Electricity
Type of incident □ Struck by □ handling □ Fall
□ Caught in □ Poisons □ Other
Temperature
Describe the events leading up to the injury and how the injury occurred (witness or injured
person’s statement(.
Task 2: Complete the following Accident Investigation
Report Form ) Supervisor’s Report(:

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Accident Report

1. Sprains: ( ‫ )إلتواء‬Overstretching or tearing the ligaments results in a sprain. Ligaments are

pieces of tissue that connect two bones to one another in a joint.

2. Strains:) ‫)عضل شد‬Overstretching or tearing muscles or tendons results in a sprain. Tendons

are thick, fibrous cords of tissue that connect bone to muscle.

4. Swollen muscles: (‫ ) العضالت تورم‬Swelling is a natural reaction to an injury.

5. Fractures: (‫ ( كسور‬Are also known as broken bones.

and lead to swelling and weakness.

7. Concussion: )‫(صدمه‬ a violent shock as from a heavy blow to the head.

9. Lacerations: ( ‫ (تمزق‬a deep cut or tear in skin or flesh.

11. Sickness: (‫( مرض‬due to a chemical spill or environmental pollution.

 An accident report focuses on the injury.

 An incident report is intended to focus on the cause and prevention of

□ Head □ Trunk □ Multiple

Part of body injured □ Eyes □ Arm □ General

□ Neck □ Leg □ Unspecified

□ Sprain □ Laceration □ Burn

Nature of injury □ Fracture □ Concussion □ Superficial

□ Multiple □ Dislocation □ Amputation

□ Flying object □ Manual □ Electricity

Type of incident □ Struck by □ handling □ Fall

□ Caught in □ Poisons □ Other

1. Sprains: ( ‫ )إلتواء‬Overstretching or tearing the ligaments results in a sprain. Ligaments are

pieces of tissue that connect two bones to one another in a joint.

2. Strains:) ‫)عضل شد‬Overstretching or tearing muscles or tendons results in a sprain. Tendons

are thick, fibrous cords of tissue that connect bone to muscle.

4. Swollen muscles: (‫ ) العضالت تورم‬Swelling is a natural reaction to an injury.

5. Fractures: (‫ ( كسور‬Are also known as broken bones.

and lead to swelling and weakness.

7. Concussion: )‫(صدمه‬ a violent shock as from a heavy blow to the head.

9. Lacerations: ( ‫ (تمزق‬a deep cut or tear in skin or flesh.

11. Sickness: (‫( مرض‬due to a chemical spill or environmental pollution.

 An accident report focuses on the injury.

 An incident report is intended to focus on the cause and prevention of

□ Head □ Trunk □ Multiple

Part of body injured □ Eyes □ Arm □ General

□ Neck □ Leg □ Unspecified

□ Sprain □ Laceration □ Burn

Nature of injury □ Fracture □ Concussion □ Superficial

□ Multiple □ Dislocation □ Amputation

□ Flying object □ Manual □ Electricity

Type of incident □ Struck by □ handling □ Fall

□ Caught in □ Poisons □ Other

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