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Supervisor’s / Manager's Incident Investigation Report - Safety-Link Mobile App

The Supervisor’s / Manager's Incident Investigation Report - Safety-Link mobile app provides a simple way to track the details of workplace incident investigations electronically.

The accident investigation report tracks all of the important details, including injury details, corrective actions recommended to improve health and safety, and steps to reduce property damage by preventing workplace accidents. Once the incident investigation form has been completed, the workplace incident investigation app saves the report for your health and safety records.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Supervisor’s / Manager's Incident Investigation Report - Safety-Link Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    Complete all areas of this form for each injured person.

  • Ico textbox

    Name

  • Ico checkbox

    Employee

  • Ico checkbox

    Visitor

  • Ico checkbox

    Contractor

  • Ico textbox

    Address

  • Ico textbox

    If an Employee ID Number

  • Ico date

    Date of Accident

  • Ico time

    Time of Accident

  • Ico textbox

    Accident Area

  • Ico multiline

    Address

  • Ico multiline

    Individual’s description of the incident and/or injuries

  • Ico textbox

    Name of person incident reported to

  • Ico date

    Date Reported

  • Ico time

    Time Reported

  • Ico multiline

    Supervisor/Manager’s understanding of the incident and/or injuries

  • Ico textbox

    Witness’ Name

  • Ico textbox

    Witness’ Phone No.

  • Ico multiline

    Witness’ description of the incident and/or injuries

  • Ico textbox

    Name of healthcare provider

  • Ico dropdown

    Was first aid given off-site?

  • Ico dropdown

    Was employee hospitalized overnight?

  • Ico dropdown

    Did death occur?

  • Ico textbox

    Hospital

  • Ico multiline

    Address

  • Ico statictext

    THIS INFORMATION IS REQUIRED BY FOR ANY INJURY REPORTS FOR EMPLOYEES

  • Ico textbox

    Date of Birth

  • Ico textbox

    Date Hired

  • ...and More!

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More Information


  • Creator: Safety-Link
  • Language: English
  • Country: United States of America
  • Type:
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