Work Injury Waiver Form for United Arab Emirates

Work Injury Waiver Form Template for United Arab Emirates

This document serves as a formal Work Injury Waiver Form governed by UAE labor law, specifically designed to address workplace safety and liability matters while maintaining compliance with Federal Law No. 8 of 1980 (UAE Labor Law) and related regulations. The form establishes a clear understanding between employer and employee regarding workplace risks, safety protocols, and injury procedures, while explicitly maintaining all mandatory protections required under UAE law. It includes comprehensive sections on risk acknowledgment, safety procedures, and emergency protocols, balanced with employer obligations to maintain a safe working environment.

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What is a Work Injury Waiver Form?

The Work Injury Waiver Form is a critical document used in UAE workplaces where employees may be exposed to inherent job-related risks. This document is designed to comply with UAE Federal Law No. 8 of 1980 (Labor Law) and related workplace safety regulations, providing a balanced approach to risk management and worker protection. It serves to document the employee's acknowledgment of workplace risks while maintaining their statutory rights and the employer's obligations under UAE law. The form includes detailed safety protocols, emergency procedures, and clear delineation of what can and cannot be waived under UAE law. It's particularly important in industries with elevated safety risks or where specific hazards are inherent to job functions.

What sections should be included in a Work Injury Waiver Form?

1. Parties: Identification of the employer and employee, including full legal names, addresses, and employment identification details

2. Background: Context of the employment relationship and purpose of the waiver

3. Definitions: Key terms used in the document including 'workplace injury', 'inherent risks', 'negligence', and 'workplace premises'

4. Acknowledgment of Risks: Employee's confirmation of understanding the inherent risks associated with their job role

5. Scope of Waiver: Clear delineation of what risks and circumstances are covered by the waiver, explicitly stating what cannot be waived under UAE law

6. Employer Obligations: Statement of employer's continuing obligations regarding workplace safety and compliance with UAE labor laws

7. Safety Procedures: Reference to workplace safety protocols and employee's agreement to follow them

8. Emergency Procedures: Process to be followed in case of workplace injury

9. Governing Law: Confirmation that the waiver is governed by UAE law and subject to UAE Labor Law provisions

10. Execution: Signature blocks and date of execution

What sections are optional to include in a Work Injury Waiver Form?

1. Specific Activity Risks: Detailed section for use when the waiver relates to specific high-risk activities or special projects

2. Third Party Involvement: Section to be included when work involves interaction with third-party contractors or at third-party premises

3. Equipment Usage: Additional section for roles requiring use of specialized or dangerous equipment

4. Training Acknowledgment: Section confirming completion of specific safety training, used when role requires specialized safety training

5. Medical Condition Declaration: Optional section for roles where specific medical conditions might increase risk

6. Insurance Coverage: Section detailing relevant insurance coverage, included when specific insurance arrangements apply

What schedules should be included in a Work Injury Waiver Form?

1. Schedule A - Job Role Risk Assessment: Detailed assessment of risks specific to the employee's job role

2. Schedule B - Safety Equipment Requirements: List of mandatory safety equipment and proper usage guidelines

3. Schedule C - Emergency Contact Information: Emergency contact details and procedures

4. Appendix 1 - Safety Procedures Manual: Reference to or summary of relevant workplace safety procedures

5. Appendix 2 - Incident Reporting Forms: Standard forms for reporting workplace incidents or injuries

6. Appendix 3 - Medical Facility Information: List of approved medical facilities and contact information

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Publisher

Genie AI

Document Type

Liability Waiver

Cost

Free to use
Relevant legal definitions
Relevant Industries

Construction

Manufacturing

Oil and Gas

Mining

Logistics and Warehousing

Industrial Processing

Healthcare

Facility Management

Transportation

Aerospace

Maritime

Agriculture

Chemical Processing

Relevant Teams

Human Resources

Health and Safety

Operations

Facilities Management

Risk Management

Legal

Compliance

Training and Development

Occupational Health

Emergency Response

Quality Assurance

Relevant Roles

Construction Worker

Machine Operator

Warehouse Worker

Factory Worker

Maintenance Technician

Field Engineer

Laboratory Technician

Healthcare Worker

Safety Inspector

Industrial Cleaner

Crane Operator

Electrician

Plumber

Welder

Chemical Plant Operator

Mining Engineer

Oil Rig Worker

Loading Dock Worker

Equipment Operator

Facility Maintenance Worker

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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