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INJURY / ILLNESS REPORTING

Instructions:

The Injury / Illness report is a form that will populate all of the forms required by the Safety Manual (Page 97) attached below, this includes the Incident Reporting Form for the Employee injured / ill. This form must be filled out by the Supervisor AND the employee together.

Once completed and submitted, the Captain will get all forms to review.

Ensure ALL witnesses fill out an Incident Report, they should all be filed under the same event number/.

You also need to complete one of the following:

DES Incident Investigation Form. (For the sake of your subordinate, document as best as possible.)

This form, along with a Duty Status Form needs to be submitted to the Captain for review and so they can merge it all into one document and submit it to the accident / injury group.

PDF Forms are available through the links below in the event they’re needed: