Form - Incident and Injury Reporting Checklist

Published on Jan 1, 2023

Incident and Injury Reporting Checklist form in WorkSignals

Introducing the Incident and Injury Reporting Checklist inside the WorkSignals forms suite. This asset helps to identify and report any incidents or injuries that can occur in the workplace with its easy-to-follow checklist of questions. It provides a streamlined process for filing this type of form or report.

Similar assets include the Risk Assessment and Near Miss Report. Incident and Injury Reporting Checklist is conveniently integrated and can be used in conjunction with other checklists in the WorkSignals suite, such as Health And Safety Monitoring, Hazard Reporting and Accident Investigation.

The Incident and Injury Reporting Checklist form is part of the WorkSignals forms suite, and is part of the Checklists category.

The Incident and Injury Reporting Checklist form contains the following fields:

  • Creation Date (Type: Date Select)
  • Infrastructure Setup (Type: Heading)
  • Is there a designated incident reporting system in place? (Type: Pass/Fail)
  • Is the incident reporting system easily accessible to all employees? (Type: Pass/Fail)
  • Are clear guidelines provided for reporting incidents and injuries? (Type: Pass/Fail)
  • Reporting Process (Type: Heading)
  • Are there clear procedures for reporting incidents and injuries? (Type: Pass/Fail)
  • Have employees received training on incident and injury reporting procedures? (Type: Pass/Fail)
  • Is there a specified timeframe within which incidents and injuries must be reported? (Type: Pass/Fail)
  • Recordkeeping and Follow-up (Type: Heading)
  • Are incident and injury records maintained and easily accessible? (Type: Pass/Fail)
  • Are there procedures in place for following up on reported incidents and injuries? (Type: Pass/Fail)
  • Is there a process for reviewing incidents to identify patterns and trends? (Type: Pass/Fail)
  • Communication and Feedback (Type: Heading)
  • Is there a process for providing feedback to employees on reported incidents and corrective actions taken? (Type: Pass/Fail)
  • Are employees regularly reminded of the importance of reporting incidents and injuries? (Type: Pass/Fail)

Here's a preview of the Incident and Injury Reporting Checklist form inside the mobile app:

Image of a Incident and Injury Reporting Checklist form

Get started with a Incident and Injury Reporting Checklist form

It's free to set up an account and start creating your own. Use WorkSignals to create Incident and Injury Reporting Checklist free.

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