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Complete a new incident form
This form is to record an accident. An accident is defined as ‘a random, abnormal, undesirable occurrence that has resulted in injury or harm to employees or non-employees’.
Work Related Ill Health is classified as an illness or disease caused or made worse by the working environment. This form should be used where an illness or disease is suffered during work time (whether work related or not) or if exposed to an agent which has the potential to cause illness/disease later. Communicable disease is reported via employees sickness record, with exception to where COVID-19 has been contracted in connection with the work activities, this needs to be reported on the Near Miss form.
Non-injury Incident (Near Miss) is classified as an event that had the potential to cause injury or harm to an individual or the work environment. Please use this form to report COVID-19 that has been contracted in connection with the work activities. In this form will also identify whether an incident is a dangerous occurrence (under RIDDOR Regulations).
Violence - Physical Harm is classified as an event that was caused by an individual to cause harm to another person.
A Physically Harmful Behaviour Incident is defined as one in which a person has been harmed or injured by another person. This may have been unintentional or perceived as intentional and resulted in injury or harm to the individual or the work environment. Fields marked with * are mandatory
A form for ECC employees to use for quickly reporting instances of verbal abuse or anti-social behaviour. Depending on the severity and employee wishes, the incident will either be: a) acknowledged by line manager, support offered and incident recorded on MySafety b) investigated by your line manager, support offered and incident recorded on MySafety
Print a blank incident form
This form is to record an accident. An accident is defined as ‘a random, abnormal, undesirable occurrence that has resulted in injury or harm to employees or non-employees’.
Work Related Ill Health is classified as an illness or disease caused or made worse by the working environment. This form should be used where an illness or disease is suffered during work time (whether work related or not) or if exposed to an agent which has the potential to cause illness/disease later. Communicable disease is reported via employees sickness record, with exception to where COVID-19 has been contracted in connection with the work activities, this needs to be reported on the Near Miss form.
Non-injury Incident (Near Miss) is classified as an event that had the potential to cause injury or harm to an individual or the work environment. Please use this form to report COVID-19 that has been contracted in connection with the work activities. In this form will also identify whether an incident is a dangerous occurrence (under RIDDOR Regulations).
Violence - Physical Harm is classified as an event that was caused by an individual to cause harm to another person.
A Physically Harmful Behaviour Incident is defined as one in which a person has been harmed or injured by another person. This may have been unintentional or perceived as intentional and resulted in injury or harm to the individual or the work environment. Fields marked with * are mandatory
A form for ECC employees to use for quickly reporting instances of verbal abuse or anti-social behaviour. Depending on the severity and employee wishes, the incident will either be: a) acknowledged by line manager, support offered and incident recorded on MySafety b) investigated by your line manager, support offered and incident recorded on MySafety