Employee Injury

Download Employee Injury

Adobe Acrobat (.pdf)

This Document Has Been Certified by a Professional

100% customizable

This is a digital download (142.53 kB)

Language: English

We recommend downloading this file onto your computer.

Download

Open with Google Docs

Preview

ABT template rating: 7

Malware- and virusfree. Scanned by:

How to draft a Employee Injury? Download this Employee Injury template now!

We support you and your company by providing this Employee Injury 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 Injury 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 Injury template now!

Description continued on attached sheets: Step 3: Why did the incident happen Unsafe workplace conditions: (Check all that apply) Inadequate guard Unguarded hazard Safety device is defective Tool or equipment defective Workstation layout is hazardous Unsafe lighting Unsafe ventilation Lack of needed personal protective equipment Lack of appropriate equipment / tools Unsafe clothing No training or insufficient training Other: Unsafe acts by people: (Check all that apply) Operating without permission Operating at unsafe speed Servicing equipment that has power to it Making a safety device inoperative Using defective equipment Using equipment in an unapproved way Unsafe lifting Taking an unsafe position or posture Distraction, teasing, horseplay Failure to wear personal protective equipment Failure to use the available equipment / tools Other: Why did the unsafe conditions exist Why did the unsafe acts occur Is there a reward (such as “the job can be done more quickly”, or “the product is less likely to be damaged”) that may have encouraged the unsafe conditions or acts Yes No If yes, describe: Were the unsafe acts or conditions reported prior to the incident Yes No Have there been similar incidents or near misses prior to this one Yes No 4 Step 4: How can future incidents be prevented What changes do you suggest to prevent this incident/near miss from happening again Stop this activity Guard the hazard Train the employee(s) Train the supervisor(s) Redesign task steps Redesign work station Write a new policy/rule Enforce existing policy Routinely inspect for the hazard Personal Protective Equipment Other: What should be (or has been) done to carry out the suggestion(s) checked above Description continued on attached sheets: Step 5: Who completed and reviewed this form (Please Print) Written by: Tit

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

DISCLAIMER
Nothing on this site shall be considered legal advice and no attorney-client relationship is established.

Download Employee Injury

Best Calendar Templates

Related templates

Latest templates

Latest topics