Accident Reporting and Record Keeping Program

Purpose

Accident, injury and illness reports are required by various Federal and State laws. Accident reports are also required by our company insurance carriers.

Policy

It is the policy of [COMPANY] to create, maintain and file accident reports as required by law. Accident reports submitted to outside agencies and agents of the company shall be submitted in the required format. Example: OSHA 300 log and OSHA 301 form (or equivalent).

All incidents and accidents resulting in injury or causing illness to employees and events (near-miss accidents) shall be reported in order to:

Establish a written record of factors that cause injuries and illnesses and occurrences (near-misses) that might have resulted in injury or illness but did not, as well as property and vehicle damage.

Maintain a capability to promptly investigate incidents and events in order to initiate and support corrective and/or preventive action.

Provide statistical information for use in analyzing all phases of incidents and events..

Provide the means for complying with the reporting requirements for occupational injuries and illness

The Incident Reporting System requirements apply to all incidences involving company employees, on-site vendors, contractor employees and visitors, which results in (or might have resulted in) personal injury, illness, and/or property and vehicle damage.

Responsibilities

Management:

Establish and maintain an effective accident reporting program

Establish and maintain an effective record keeping program including security controls over sensitive employee medical and exposure records.

Train all employees in the accident reporting procedures

Train record custodians in proper record entry, maintenance and release procedures

Conduct annual program audit

Supervisors

Comply with the requirements of this program

Employees

Comply with the accident reporting procedures

Incidents (Occupational injuries and illnesses)

Injuries and illnesses that require reporting include those injuries and illnesses occurring on the job which result in any of the following: lost work time, restrictions in performing job duties, requirement for first aid or outside medical attention, permanent physical bodily damages, or death. Examples of “reportable injuries and illnesses include, but are not limited to, heat exhaustion from working in hot environments, strained back muscles from moving equipment, acid burns on fingers, etc.

Other incidents requiring reporting include those incidents occurring on the job which result in any of the following: injury or illness, damage to a vehicle, fire/explosion, property damage of more than $100, or chemical releases requiring evacuation of at least that immediate spill area.

Examples of “non-reportable” injuries and illnesses include small paper cuts, common colds, and small bruises not resulting in work restrictions or requiring first aid or medical attention.

Events (Near Misses)

Other incidents that, strictly by chance, do not result in actual or observable injury, illness, death, or property damage are required to be reported. The information obtained from such reporting can be extremely useful in identifying and mitigating problems before they result in actual personal or property damage. Examples of near miss incidences required to be reported include the falling of a compressed gas cylinder, over exposures to chemical, biological, or physical agents (not resulting in an immediately observable manifestation of illness or injury), and slipping and falling on a wet surface without injury.

Incident Reporting Procedures

The following procedures are to be followed by all employees in order to effectively report occupational injuries and illnesses and other incidents or events. All reports to outside agencies, except for those to local emergency response units (police, fire, ambulance), shall be made only by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

Incidents (Injuries and Illnesses)

Serious injury or illness posing a life-threatening situation shall be reported immediately to the local emergency response medical services (Call 911).

Injuries and illnesses shall be reported, by the injured employee, to his or her supervisor in person or by phone as soon after any life-threatening situation has been addressed. If the injured employee is unable to report immediately, then the incident should be reported as soon as possible.

Upon notification of an occupational injury or illness, the supervisor should complete the Incident/Accident Report and, if possible, send it with the injured employee to _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. The Incident/Accident Report Form must be completed and forwarded to _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ even if the employee receives medical treatment at the hospital and/or from a private physician.

Events

Incidents not involving injury or illness, but resulting in property damage, must also be reported within 24 hours of the incident. In cases of a fire or explosion that cannot be controlled by one person, vehicular accident resulting in injury or more than $500 worth of damage, or a chemical release involving a reportable….

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