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Health And Safety Incident Report Form

Health And Safety Incident Report Form Template for Singapore

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Key Requirements PROMPT example:

Health And Safety Incident Report Form

"I need a Health And Safety Incident Report Form for our construction site in Singapore that focuses on machinery-related incidents and includes detailed sections for equipment damage assessment, as we've had several crane-related near-misses that need proper documentation."

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Document background
The Health And Safety Incident Report Form is a crucial document required under Singapore's workplace safety regulations. It must be completed whenever a workplace incident occurs, including accidents, injuries, dangerous occurrences, or near-misses. The form aligns with Ministry of Manpower (MOM) requirements and must be submitted within specified timeframes depending on incident severity. It collects comprehensive information about the incident, affected persons, witnesses, and immediate actions taken, serving both immediate reporting needs and long-term risk management objectives.
Suggested Sections

1. Incident Details: Basic information including date, time, location, and type of incident

2. Affected Person(s) Information: Personal details, job role, contact information of injured/affected parties, in compliance with PDPA requirements

3. Incident Description: Detailed account of what happened, including sequence of events and circumstances

4. Witness Information: Details of any witnesses to the incident, including contact information

5. Immediate Actions Taken: Emergency response measures and immediate corrective actions implemented

Optional Sections

1. Medical Treatment Details: Information about medical attention received, required when injury resulted in medical treatment

2. Property Damage Assessment: Details of any damage to property or equipment, required when incident involved property damage

3. Environmental Impact Assessment: Assessment of environmental consequences, required when incident involved environmental hazards

Suggested Schedules

1. Photographs and Visual Evidence: Visual documentation of the incident scene, injuries, or damage

2. Witness Statements: Written accounts from witnesses collected according to MOM guidelines

3. Medical Reports: Copies of relevant medical documentation and certificates

4. Risk Assessment Update: Updated risk assessment following the incident and preventive measures

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈË°æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions






























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Industries

Workplace Safety and Health Act (WSHA): Primary legislation that establishes fundamental requirements for workplace safety, defines reporting obligations for workplace incidents, and establishes penalties for non-compliance in Singapore

Workplace Safety and Health (Incident Reporting) Regulations: Subsidiary legislation that specifies which incidents must be reported, details reporting timeframes (e.g., 10 days for fatal accidents), and outlines required information in incident reports

Work Injury Compensation Act (WICA): Legislation governing compensation for workplace injuries, determining what information needs to be collected for potential claims and compensation processes

Ministry of Manpower (MOM) Guidelines: Regulatory guidelines providing specific reporting requirements, templates, and best practices for health and safety incident reporting in Singapore

Personal Data Protection Act (PDPA): Legislation governing the collection, use, and storage of personal data, including requirements for consent and data protection in incident reports

Medical Records Requirements: Regulatory requirements regarding the confidentiality, handling, and retention periods for medical records related to workplace incidents

Reporting Deadlines Framework: Statutory timeframes requiring 10-day reporting for deaths and extended hospitalization cases, and immediate reporting for dangerous occurrences

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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