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9 gru 2023 · This procedure outlines processes and requirements for reporting and investigating workplace incidents at Charles Sturt University (the University). It requires and supports staff to: report incidents. properly investigate all incidents take corrective action to prevent the recurrence of incidents.
Among the many forms you keep on file as a childcare professional, an incident report template should be included. Local ordinances or state law may require you to use an official form, or you may be expected to produce one yourself.
Example Injury/Incident Report Form. Date Incident Occurred. Time Incident Occurred: Child’s Name: Age: Adults that observed: Where incident occurred: (describe location and any equipment) Cause of injury: (description what happened beforehand and/or hazards involved)
Incident Information. Date/Time employee began work - Record day, month and year the employee started work on the day of injury. If not known because it is a latent health issue, write unavailable.
DESCRIPTION OF THE ACCIDENT. TO BE COMPLETED BY THE ATTENDING CSU FACULTY OR STAFF MEMBER NOTE: Attach photographs of the area, equipment, and injury. Attending CSU Faculty or Staff’s Name: _______________________________________ Phone Number (______) _____- ________. What I personally observed: ...
1. Reporting an Incident Allincidents (including near misses, that is, incidents where no injury results but may have in different circumstances) must be reported to your supervisor as soon as practicable after the incident occurs, irrespective of whether you have sustained an injury or not.
1. INITIATE AN INCIDENT / INJURY REPORT. 1.1. The appropriate people are to be notified of the incident. 1.2. An Incident Report Form is to be completed by the person involved in the incident/hazard or the Supervisor as soon as possible after incident. 1.3.
