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Hazard Incident Report Form
"Need a Hazard Incident Report Form for our construction site in Singapore that includes specific sections for crane operations and height safety incidents, with additional focus on photographic evidence requirements and immediate notification procedures for senior management."
1. Incident Information: Date, time, location, and type of incident
2. Reporter Details: Name, position, contact information of person filing report
3. Affected Persons: Details of injured/affected individuals, including employment status
4. Incident Description: Detailed account of what happened, including sequence of events
5. Immediate Actions Taken: Emergency responses and immediate control measures implemented
1. Witness Statements: Used when witnesses were present during incident
2. Medical Report Details: Required when medical treatment was administered
3. Property Damage Assessment: Include when physical assets were damaged
4. Environmental Impact: Required for incidents involving environmental hazards
1. Photographs: Visual documentation of incident scene and damages
2. Medical Certificates: Copies of medical documentation if applicable
3. Risk Assessment: Previous risk assessments related to the activity
4. Investigation Findings: Detailed investigation report if conducted
Authors
Dangerous Occurrence
Hazard
Incident
Near Miss
Notifiable Incident
Occupier
Principal
Reportable Incident
Risk Assessment
Root Cause
Safety Control Measure
Severity Classification
Workplace
Workplace Injury
Work-related Illness
WSH Officer
Affected Person
Corrective Action
Emergency Response
First Aid Treatment
Lost Time Injury
Medical Treatment
Personal Protective Equipment
Preventive Action
Safe Work Procedure
Witness Statement
Reporter Information
Location and Time
Injury Classification
Hazard Identification
Risk Assessment
Immediate Actions
Emergency Response
Witness Information
Root Cause Analysis
Corrective Measures
Preventive Actions
Medical Treatment
Property Damage
Environmental Impact
Notifications Made
Investigation Details
Follow-up Requirements
Training Requirements
Documentation Requirements
Confidentiality
Data Protection
Record Keeping
Regulatory Compliance
Sign-off Requirements
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