How to draft a Employee Incident Report? Download this Employee Incident Report template now!
We support you and your company by providing this Employee Incident Report HR template, which will help you to make a perfect one! This will save you or your HR department time, cost and efforts and help you to reach the next level of success in your work and business!
This Employee Incident Report has ways to grab your reader’s attention. It is drafted by HR professionals, intelligently structured and easy-to-navigate through. Pay close attention to the most downloaded HR templates that fit your needs.
Download this Human Resources Employee Incident Report template now!
Date: Signature of employee: Revised 1/2010 SUPERVISOR OCCUPATIONAL INCIDENT REPORT Supervisor of injured UCSD employee must complete and FAX this page, (858) 246-0973, to the Workers’ Compensation Office in conjunction with either of the two reporting options utilized by the injured employee: o Option A: Employee reported incident via written Employee Occupational Incident Report, or o Option B: Employee reported incident via 1-800 Reporting Line: (877) 6UC-RPRT (877-682-7778) Supervisor Name: Work Phone: Email: ucsd.edu Department: Name of injured employee: Date of Incident: Time of Incident: Job Title: Where did this event happen Address/Bldg, name room of incident: Did employee lose time from work after date of injury Yes No Unknown If ‘yes’ last day worked Date employee returned to work State all parts of body and type of injuries involved (e.g..
Also interested in other HR templates? Browse through our database and have instant access to hundreds of free and premium HR documents, HR forms, HR agreements, etc