Sample

Accident Reporting Policy

Approved by: ___________________________

Chairman: _____________________________

Date: _________________________________

  1. Purpose [comply with legislation, ensure the necessary action to prevent any recurrence and to enable the public entity to maintain proper records.

  2. Scope [accident, incident, near-miss; employee, others]

  3. Definitions [of terms]

  4. Accident Reporting [timeline, to whom, how (phone, e-mail, fax)—OSHA, NIOSH?]

  5. Absence resulting from an accident [who to report to, Return-to work]

  6. Accident Investigation [who investigates, what to do with resulting recommendations]

  7. Forms [Names, where to find them]

  8. Reportable Diseases [communicable diseases listed where?]