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Accident Investigation Forms
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Catastrophic Injuries
Injury Reporting FAQ's
Accident Investigation Form
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Accident Investigation Forms
Accident investigation forms/statements should be filled out by the injured employee, supervisor
or any witness to the accident. Train your supervisors to conduct the preliminary investigation
and to have these forms completed as soon as possible.
Accident Investigation Form - PDF - English
Accident Investigation Form - PDF - Spanish
IMPORTANT - Care must be taken to assure the investigation is fact-finding, not fault finding.
Obtaining signed statements as a soon as possible following an accident insures that you, the
employer, have an accurate account of how the injury occurred. These completed statements are
important in helping to correct hazards and prevent the accident from recurring. They also help to
spot possible third-party liability as well as possible fraudulent claims.
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