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Employee Incident Report Form

Employee Incident Report Form Template for Singapore

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Key Requirements PROMPT example:

Employee Incident Report Form

"Need an Employee Incident Report Form for our Singapore manufacturing facility that includes detailed sections on machinery accidents and chemical exposure, as we're expanding our chemical processing unit in January 2025 and need to ensure compliance with updated MOM safety regulations."

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Document background
The Employee Incident Report Form is a crucial document required under Singapore's workplace safety regulations. It serves as an official record of workplace incidents, accidents, or near-misses, enabling proper documentation and follow-up actions. This form must be completed whenever an incident occurs that affects employee safety or health, property damage, or operational disruption. The document helps organizations comply with Ministry of Manpower (MOM) reporting requirements, facilitate insurance claims, and implement preventive measures. It supports systematic incident tracking and analysis while ensuring compliance with Singapore's workplace safety legislation.
Suggested Sections

1. Incident Information: Basic details including date, time, location of incident

2. Employee Information: Details of affected employee(s) including name, ID, department, role

3. Incident Description: Detailed account of what happened, including sequence of events

4. Injury/Damage Details: Nature and extent of any injuries or damage caused

5. Immediate Actions Taken: Steps taken immediately following the incident

6. Witness Information: Details of any witnesses to the incident

Optional Sections

1. Medical Treatment Details: Information about medical attention provided - use when medical treatment was required

2. Equipment/Machinery Involved: Details of any equipment or machinery involved in incident - use when incident involves equipment or machinery

3. Environmental Conditions: Description of environmental factors - use when environmental conditions contributed to incident

4. Third Party Involvement: Information about any third parties involved - use when incident involves external parties

Suggested Schedules

1. Witness Statements: Detailed statements from witnesses

2. Photographs/Videos: Visual evidence of incident scene, injuries, or damage

3. Medical Reports: Copies of any medical reports or certificates

4. Safety Equipment Records: Documentation of safety equipment status if relevant

5. Training Records: Relevant training certificates or records of affected employees

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

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alex.den.21@genieai.co
Industries

Workplace Safety and Health Act (WSHA): Primary legislation governing workplace safety requirements, incident reporting obligations, and establishes duties of employers and employees regarding safety reporting in Singapore

Work Injury Compensation Act (WICA): Legislation governing compensation for workplace injuries, defining reportable accidents and injuries, and establishing timelines for incident reporting

Personal Data Protection Act (PDPA): Regulatory framework for collection and handling of personal data, ensuring confidentiality of incident reports and controlling access to sensitive information

Employment Act: Basic employment legislation providing framework for employee rights and employer obligations, including aspects relevant to incident reporting

MOM Guidelines: Ministry of Manpower guidelines detailing specific reporting requirements, prescribed forms and procedures, and timeline requirements for incident submissions

Industry-specific regulations: Additional regulations that may apply depending on the specific industry sector

Company policies: Internal organizational procedures and policies that need to be incorporated into incident reporting

Insurance requirements: Specific documentation and reporting requirements that may be needed for insurance coverage

Trade union agreements: Any relevant collective bargaining agreements or union requirements that may affect incident reporting procedures

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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