This Accident Record Form should be available to all employees so that an injured employee, or someone acting on their behalf, can complete the form as soon as possible after the accident. The Accident Record Form should then be passed to the Duty Holder for secure safekeeping and monitoring.
The record provides for:
1. Record Number
2. Details of injured party
3. Details of reporting party
4. Accident details
5. Signature of reporting party
6. Employer only section in respect of RIDDOR, and Internal Accident Investigation Report
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