Employee Incident Report
Save, fill-In The Blanks, Print, Done!
Download Employee Incident Report
Adobe Acrobat (.pdf)- This Document Has Been Certified by a Professional
- 100% customizable
- This is a digital download (294.12 kB)
- Language: English
- We recommend downloading this file onto your computer.
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
DISCLAIMER
Nothing on this site shall be considered legal advice and no attorney-client relationship is established.
Leave a Reply. If you have any questions or remarks, feel free to post them below.
Related templates
Latest templates
Latest topics
- Invoice Templates
What exactly is an invoice, and what is the difference between the terms “receipt” and “bill”? Check out our Invoice, Bill & Receipt templates. - IT Security Standards Kit
What are IT Security Standards? Check out our collection of this newly updated IT Security Kit Standard templates, including policies, controls, processes, checklists, procedures and other documents. - Best Calendar Templates
How do you make a nice calendar? Are you looking for nice calendar templates in MS Word, Excel or PowerPoint to improve your personal efficiency and effectiveness? These easy to modify calendar templates can help you out! - Excel Templates
Where do I find templates for Excel? How do I create a template in Excel? Check these editable and printable Excel Templates and download them directly! - GDPR Compliance Templates
What do you need to become GDPR compliant? Are you looking for useful GDPR document templates to make you compliant? All these compliance documents will be available to download instantly...
cheese
