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accident report

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IC12434

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Use this form to create accident reports if an accident has occurred in your company. Here you can enter details of the person who suffered the accident, the accident data itself and the consequences of the accident.


Identification

Information on the identification of the data record is stored in this info area.
PropertyDescription
Personnel NumberPlease provide the personnel ID number of the person involved in the accident
SurnamePlease enter the last name of the person involved in the accident.
First NamePlease enter the first name of the person involved in the accident

Personnel Details

This information area contains details of the activity of the person who suffered the accident.
PropertyDescription
Working asWorking as

Accident

This info area contains all information about the accident itself. Information on when and where exactly the accident took place can be stored here.
PropertyDescription
Time of the accidentEnter the exact time of the accident here. This information is crucial for the correct documentation of the incident and enables a precise time classification for analyses and reports. The exact time of the accident is a mandatory field as it is very important for accident reconstruction and any insurance claims.
Hours Worked at Time of AccidentHours Worked at Time of Accident
Circumstances of the AccidentCircumstances of the Accident
Stopped Work after AccidentStopped Work after Accident
Accident dateEnter the exact date on which the accident occurred here. This information is crucial for the correct chronological classification of the event and forms the basis for all further steps in the reporting process and for any insurance claims.
Place of AccidentPlace of Accident

Details of Accident Notification

Information on the accident report itself is stored in this info area.
PropertyDescription
Created onCreated on
Created byCreated by

Consequences of Accident

Information on the consequences of accidents is provided in this info area.
PropertyDescription
Injured Body Part(s)Injured Body Part(s)
Type of InjuryType of Injury
Unfit for Work fromUnfit for Work from
Resumption of WorkResumption of Work
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