The Workplace Injury Report Form is a crucial document required under Singapore's workplace safety legislation. It must be completed when an employee sustains an injury during work or develops an occupational disease. The form captures essential details about the incident, including the nature of injury, circumstances, witness accounts, and medical treatment provided. This documentation is vital for regulatory compliance, insurance claims, and workplace safety improvements. Companies must submit this report to MOM within 10 days of the incident for reportable cases, as specified under the WSHA and WICA frameworks.
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1. Incident Information: Basic details including date, time, and location of the workplace incident
2. Employee Details: Personal information of injured worker including name, ID, contact details, job title, and employment status
3. Injury Description: Detailed description of the injury including type, severity, and affected body parts
4. Incident Description: Comprehensive account of how the incident occurred, including activities being performed and immediate causes
5. Witness Information: Contact details and role of any witnesses present during the incident
1. Medical Treatment Details: Information about immediate medical attention provided, including first aid and hospital treatment
2. Equipment/Machinery Involved: Details of any equipment or machinery involved in the incident, including maintenance records
3. Third Party Details: Information about any external parties involved in or affected by the incident
1. Medical Reports: Attached medical documentation, diagnoses, and treatment plans
2. Photographic Evidence: Photographs of the incident scene, injuries, or equipment involved
3. Witness Statements: Written testimonies from witnesses who observed the incident
4. Risk Assessment Forms: Copies of relevant workplace risk assessments and safety procedures
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