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  • Report of An Injury

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    Perwez21
    179 views2 pages
    This document is a report submitted to the Health and Safety Executive detailing an injury incident that occurred on an unspecified date at an unspecified location. It provides information about the notifier, injured person, and describes the type of accident, work process involved, and injuries sustained. The report includes details such as the notifier and injured person's names and contact information, as well as describing the severity of the injury, what part of the body was injured, and circumstances of the incident.

    Original Description:

    HSE Form for Injury reporting

    Original Title

    Report of an Injury

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    © Attribution Non-Commercial (BY-NC)

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    This document is a report submitted to the Health and Safety Executive detailing an injury incident that occurred on an unspecified date at an unspecified location. It provides information about the notifier, injured person, and describes the type of accident, work process involved, and injuries sustained. The report includes details such as the notifier and injured person's names and contact information, as well as describing the severity of the injury, what part of the body was injured, and circumstances of the incident.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    179 views2 pages

    Report of An Injury

    Uploaded by

    Perwez21
    This document is a report submitted to the Health and Safety Executive detailing an injury incident that occurred on an unspecified date at an unspecified location. It provides information about the notifier, injured person, and describes the type of accident, work process involved, and injuries sustained. The report includes details such as the notifier and injured person's names and contact information, as well as describing the severity of the injury, what part of the body was injured, and circumstances of the incident.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    9/30/12

    Health and Safety Executive

    F2508 - Report of an injury Notification Number 937E3E9B09

    About you and your organisation Notifier Name Organisation Name Address

    Job Title Email Phone No About the incident Incident Date Incident Time In which local authority did the incident occur? (Country, Geographical Area and Local Authority) ,, In which department or where on the premises did the incident happen? What type of work was being carried out (generally the main business activity of the site)? Main Industry Main activity Sub activity About the kind of accident Kind of accident Work process involved Main factor involved
    1/2

    Fax No

    9/30/12

    F2508 - Report of an injury

    Description About the injured person Injured Persons Name Address

    Phone No What is the person's occupation or job title? Work Status Details if the affected person is on a training scheme/employed by someone else About the injured persons injuries Severity of the injury Injuries Part of the body

    2/2

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