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Work Injury Incident Report

Work Injury Incident Report

Price: 

$19.95

VALID IN ALL STATES

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This Work Injury Incident Report is a must for every company or employer. This incident report thoroughly details a workplace injury, accident or illness. It contains details regarding the employee including name, date of birth and telephone number. It also contains a detailed description of the incident including the date, time and location, date incident was reported, by whom and if there are any witnesses. It is imperative that every work injury or illness be clearly documented in writing. A written Work Injury Incident Report will prove invaluable in the event there are disagreements, misunderstandings or litigation regarding a workplace injury or accident.

This Work Injury Incident Report contains the following provisions:
  • Company: Clearly sets forth the name of the company and that all incidents must be reported at least 48 hours following the incident;
  • Personal Details: Name, age, gender, address and phone number of the employee who has been injured;
  • Incident Details: Specific details regarding the injury including its cause, location, date and time and detailed description of the incident;
  • Incident Reporting: Sets out who reported the incident, date and time it was reported and the person to whom it was reported (i.e., employer, manager or supervisor);
  • Result/Witnesses: Sets forth if first aid was provided and if so, a description of the aid, any actions taken after the incident and the names and contact information of any witnesses to the accident or injury;
  • Post-Investigation: If an investigation has commenced, sets forth the date of the commencement, investigating authority and the findings/recommendations of the investigation;
  • Signatures: A manager or employer must sign and date this incident report.
Don't make the costly mistake of writing your own legal documents or relying on free forms available elsewhere. By using our forms you will save legal fees and feel confident knowing that these forms are prepared by attorneys and reviewed for accuracy.

Protect your rights and your property by purchasing this attorney-prepared form.

This attorney-prepared package includes:
  1. General Information
  2. Instructions and Checklist
  3. Work Injury Incident Report
State Law Compliance: This form complies with the laws of all states

 

Our Promise to You:

We provide accurate, legal and secure forms. All of our forms are prepared by attorneys, can be downloaded and accessed immediately, and are backed by a 100% money back guarantee – if you are dissatisfied, in any way, you get your money back.

Price: 

$19.95

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Save $694.38 compared
to using an attorney*

* According to the 2007 Altman Weil Survey of Law Firm Economics, the average attorney rate is $252.50 per hour.

Product Specifications

Product Work Injury Incident Report
Country United States
Pages 10
Dimensions Designed for Letter Size (8.5" x 11")
Printer compatibility Designed to print on all ink-jet and laser printers
Editable Yes (.doc, .wpd and .rtf)
Format Microsoft Word
Adobe PDF
WordPerfect
Rich Text Format
Platform Windows Compatible
Mac Compatible
Linux Compatible
Availability In Stock. Instant Download
Usage Unlimited number of prints
Category Accident or Injury Report Forms
Product number #43523
Download time Less than 1 minute (approx.)
Document Access Via secret online address
Email with download links
Email with attachment upon request
Refund Policy 60 days, no-questions asked, 100% money back guarantee
Support Customer support 1-800-959-5899
Online support
Additional Help
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Our Promise to You:

We provide accurate, legal and secure forms. All of our forms are prepared by lawyers, can be downloaded and accessed immediately, and are backed by a 100% money back guarantee – if you are dissatisfied, in any way, you get your money back.

 

Price: 

$19.95

ADD TO CART

Save $694.38 compared
to using an attorney*

 

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Price:

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