Get Ps Form 1769 301

What should you include in an incident report? When & where did it happen? Your report should contain the date, time and location where the accident took place. ... Who were involved? ... What did they do? ... Why did it happen? ... Were there any witnesses? ... What is the extent of damage to a person or property?

Effective April 1, 2010, PS Form 1769, Accident Report, is obsolete. This form is replaced by PS Form 1769/301, Accident Report, which is generated from the new Employee Health and Safety Application.

They provide a reminder of possible hazards. Reporting them provides a way to monitor potential problems and root causes as they recur. The documentation of these problems and root causes increases the likelihood that repeating failures will be noticed and corrected before they develop into more serious incidents.

For example: Date, time, and specific location of incident. Names, job titles, and department of employees involved and immediate supervisor(s) Names and accounts of witnesses. Events leading up to incident. Exactly what employee was doing at the moment of the accident.

Procedure The place of the accident. The date and time of the accident. The people involved or injured. Their position or involvement in the accident. Their actions immediately after the accident.

Your six-step guide The name, gender, date of birth and job title of the injured party; The date the accident happened; The date the accident was reported; The name and job title of the person logging the accident; Whether or the not the injured party is an expectant mother; and.

Report the accident to any police officer at a police station or at any office set aside by a competent authority(eg. Metro Police) for use by a traffic officer, and there produce his or her driving licence and furnish his or her identity number and such information as required.

Dear [Supervisor Name]: I am respectfully presenting this letter as written notice that I was involved in a work-related accident on [date of incident] at approximately [time of incident]. [I was injured / I became ill] when [give clear details involving the accident, including what led up to it].