About the App
No matter where incidents take place, have responders capture everything required for insurance and legal documentation. Have Human Resources and Management immediately notified of accidents in the workplace, on campus, or off-site. Document everything and everyone involved in the incident the first time. Capture photos and keep them in the cloud so nothing is lost in transport or in communication. Verify correct information is being captured when information is available. Ensure proper documents and corrective action is being taken place as a result of this incident.
Information about person involved in the incident
Home Phone Number
Mobile Phone Number
Information of Incident
Date of Incident
Set Location of Record to the Location of the incident.
More information on location
Description of Incident
Were there any witnesses to the incident?
Was the individual injured If so, describe the injury (laceration, sprain, etc.), the part of body injured, and any other information known about the resulting injury(ies).
Was medical treatment provided?
Where was treatment provided?
Photos of Incident
Name of Individual Submitting Report
Date Report Completed
FOR OFFICE USE ONLY
Report Received by