Employee Incident Report

Save, fill-In The Blanks, Print, Done!

Click on image to zoom / Click button below to see more images
Adobe Acrobat (.pdf)

  • This Document Has Been Certified by a Professional
  • 100% customizable
  • This is a digital download (294.12 kB)
  • Language: English
  • We recommend downloading this file onto your computer.

ABT template rating: 7

Malware- and virusfree. Scanned by: Norton safe website

How to draft a Employee Incident Report? Download this Employee Incident Report template now!

We support you and your company by providing this Employee Incident Report HR template, which will help you to make a perfect one! This will save you or your HR department time, cost and efforts and help you to reach the next level of success in your work and business!

This Employee Incident Report has ways to grab your reader’s attention. It is drafted by HR professionals, intelligently structured and easy-to-navigate through. Pay close attention to the most downloaded HR templates that fit your needs.     

Download this Human Resources Employee Incident Report template now!

Date: Signature of employee: Revised 1/2010 SUPERVISOR OCCUPATIONAL INCIDENT REPORT Supervisor of injured UCSD employee must complete and FAX this page, (858) 246-0973, to the Workers’ Compensation Office in conjunction with either of the two reporting options utilized by the injured employee: o Option A: Employee reported incident via written Employee Occupational Incident Report, or o Option B: Employee reported incident via 1-800 Reporting Line: (877) 6UC-RPRT (877-682-7778) Supervisor Name: Work Phone: Email: ucsd.edu Department: Name of injured employee: Date of Incident: Time of Incident: Job Title: Where did this event happen Address/Bldg, name room of incident: Did employee lose time from work after date of injury Yes  No  Unknown If ‘yes’ last day worked Date employee returned to work State all parts of body and type of injuries involved (e.g..

Also interested in other HR templates? Browse through our database and have instant access to hundreds of free and premium HR documents, HR forms, HR agreements, etc

Nothing on this site shall be considered legal advice and no attorney-client relationship is established.

Leave a Reply. If you have any questions or remarks, feel free to post them below.

default user img

Thanksgiving 2020

Related templates

Latest templates

Latest topics

More topics

Look well to this day. Yesterday is but a dream and tomorrow is only a vision. But today well lived makes every yesterday a dream of happiness and every tomorrow a vision of hope. Look well therefore to this day. | Francis Gray