Arkansas Critical Incidents Log

State:
Multi-State
Control #:
US-AHI-092
Format:
Word
Instant download

Description

This AHI form is to be used to keep track of both positive and negative by the employee to aid in the discipline process.

How to fill out Critical Incidents Log?

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FAQ

4 Steps for Writing an Effective Accident ReportDate, time and specific location of incident.Names, job titles and department of employees involved and immediate supervisors.Names and accounts of witnesses.Events leading up to incident.Specifically what the employee was doing at the moment of the accident.More items...?

Provide the basic facts. Your form may have blanks for you to fill out with information about the incident. If not, start the report with a sentence clearly stating the following basic information: The time, date and location of the incident (be specific; write the exact street address, etc.). Your name and ID number.

The incident log documents all details about an event, including date, time, what happened, who was involved and who witnessed the event. You should fill out the incident log immediately after an incident.

Step 1: Provide Fundamental InformationWhat type of injury was caused, if any? Was it fatal or non-fatal?Was there any property damage?When and where did it take place?What task was being done at the time when the incident occurred?What was the environment like?

Facts related to the incident include:The Basics. Identify the specific location, time and date of the incident.The Affected. Collect details of those involved and/or affected by the incident.The Witnesses.The Context.The Actions.The Environment.The Injuries.The Treatment.More items...?

Facts related to the incident include:The Basics. Identify the specific location, time and date of the incident.The Affected. Collect details of those involved and/or affected by the incident.The Witnesses.The Context.The Actions.The Environment.The Injuries.The Treatment.More items...?

A description of the injured person's condition or the damage to property or environment; photographs of the site; brief notes of the interview with the injured worker and other witnesses; details of where any plant or equipment involved in the incident is now located (if it has been moved);

8 Items to Include in Incident ReportsThe time and date the incident occurred.Where the incident occurred.A concise but complete description of the incident.A description of the damages that resulted.The names and contact information of all involved parties and witnesses.Pictures of the area and any property damage.More items...?

8 Items to Include in Incident ReportsThe time and date the incident occurred.Where the incident occurred.A concise but complete description of the incident.A description of the damages that resulted.The names and contact information of all involved parties and witnesses.Pictures of the area and any property damage.More items...?

Keep in mind that these 3 considerations are not to be confused with the 3 requirements for writing an incident report:The report must be factual and without assumption.An incident report must be accurate and without bias.The incident report must be complete.

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Arkansas Critical Incidents Log