The Health And Safety Incident Report Form is a crucial document required under Singapore's workplace safety regulations. It must be completed whenever a workplace incident occurs, including accidents, injuries, dangerous occurrences, or near-misses. The form aligns with Ministry of Manpower (MOM) requirements and must be submitted within specified timeframes depending on incident severity. It collects comprehensive information about the incident, affected persons, witnesses, and immediate actions taken, serving both immediate reporting needs and long-term risk management objectives.
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1. Incident Details: Basic information including date, time, location, and type of incident
2. Affected Person(s) Information: Personal details, job role, contact information of injured/affected parties, in compliance with PDPA requirements
3. Incident Description: Detailed account of what happened, including sequence of events and circumstances
4. Witness Information: Details of any witnesses to the incident, including contact information
5. Immediate Actions Taken: Emergency response measures and immediate corrective actions implemented
1. Medical Treatment Details: Information about medical attention received, required when injury resulted in medical treatment
2. Property Damage Assessment: Details of any damage to property or equipment, required when incident involved property damage
3. Environmental Impact Assessment: Assessment of environmental consequences, required when incident involved environmental hazards
1. Photographs and Visual Evidence: Visual documentation of the incident scene, injuries, or damage
2. Witness Statements: Written accounts from witnesses collected according to MOM guidelines
3. Medical Reports: Copies of relevant medical documentation and certificates
4. Risk Assessment Update: Updated risk assessment following the incident and preventive measures
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