<span>Module 4.</span>Safety Event Reporting using digital technologies to raise worker awareness and provide easy access to report injuries, accidents or near misses /free/ → Exercise: How to fill out a Safety Event Report /free/

Module 4.Safety Event Reporting using digital technologies to raise worker awareness and provide easy access to report injuries, accidents or near misses /free/

Safety Event Report

Personal Details
Full Name:
ID no.:
Home address:
Tel. Number

Event Reporting Details
Date:
Location:
Names of other organization members who were present:
Cause of Incident:
Incident Description:
Type of Injury that has been sustained:

In case of a Near Miss
Which part of the body has been affected:
Type of treatment that has been provided:
In case of an Injury:
Type of treatment:
Duration of absence:

Signature: