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Accident Report Checklist

I. Identification Information

  • Class, activity or event in which accident occurred
  • Date and time of accident
  • Person in charge
  • Person injured
  • Witnesses

II. Accident Information

  • Location of accident.
  • What was the injured doing? (Just the facts, do not include opinions or determination of cause.)
  • Safety steps taken or not taken. (Do not write preventative steps the institution could have taken.)

III. First Aid or Medical Assistance

  • What type of injury? (Just facts about general nature of injury.)
  • What emergency care was given?
  • Was the injured taken to the hospital? How?
  • Who did what?

IV. Follow-up

  • Take notes of communications with the injured or their family and friends.
  • Inform risk manager, safety officer, proper administrator, and/or attorney.
  • Do not take immediate steps to make changes without the advice of your attorney.
  • Save any possible evidence.
 

 

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