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Plantilla de accidente
Recommended Use of This Template
This template is designed to provide a reference and serve as a guide within our platform, streamlining work processes. PDF export is for preview purposes only and does not represent an official document nor is it valid for external use, such as personal verification.Date of accident
Shift
Weather
Company / Department
Users
Medical treatment type
Injury type
Injured part of the body
Property or material damaged
Pictures of damage (if applicable)
Description
Pictures of accident
Select the injured worker factors that apply
Select the work factors that apply
Select the unsafe acts that apply
Select the unsafe conditions that apply
Corrective measures to implement
Assigned users
Reviewer
Due at
Priority
Signature of the company representative
Signature of the EHS representative
Location