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REPORTING OF INJURIES etc

The relevant Enforcing Authority must be notifiedif an incident results in any of the following:

Fatality as a result of an accident Major injury to a person at work as the result

of an accident An accident which results in a not at work

being taken to hospital A dangerous occurrence

RIDDOR also has reporting requirements for incidents with the following outcomes:

Absence from normal work for over three days – no written report required

Death of an employee within a year from a reportable accident

Specific occupational diseases

Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995

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ORGANISATION

PEOPLE ACTIVITY/TASK REPORT TO

Notification must be followed by a written report within ten days on form F2508

Notification for occupational diseases on form F2505A

Following a RIDDOR incident, Employees must never tamper, interfere or remove evidence or potential evidence from the site. They must also not allow any person to tamper, interfere or remove evidence or potential evidence from an incident site without explicit instructions from supervisor, manager or other company official.

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GROUND LEVEL

INFORM, INSTRUCT and TRAIN

9

ZONE CONTROL SYSTEMVehicular

Name of Injured Employee ______________________Date of Accident ______________________________Job Title _____________________________________________

Time of Accident ______________________________________

Department __________________________________________

Location of Accident ___________________________________

Name of Witness(s) ____________________________________

Description of Accident ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Task Being Performed __________________________________

_____________________________________________________Equipment, Tools, Personal Protective Equipment, Procedures Being Used

_____________________________________________________

_____________________________________________________Description of Injury/Illness (include accident type, injury type and body part injured)_____________________________________________________

_____________________________________________________

Describe All Contributing Factors _________________________

Description of Work Area _______________________________

Injured Employee's Account of Accident __________

_____________________________________________________Witness’s Account of Accident: (Name, title, address, phone number)

_____________________________________________________What Were the Basic Causes of the Accident (usually multiple causes)?

_____________________________________________________Corrective Measures to be Implemented to Prevent Similar Re occurrence

_____________________________________________________

Investigator’s Name ___________________________________

Date of Investigation __________________________________

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INVESTIGATIONS