On Site Systems
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Incident/Accident Reporting Form

This form allows for the entry of information concerning an Incident/Accident and is typically entered by the employee who is injured or ill or it can be entered by the supervisor of the person who is injured or had the accident.  The purpose of this form is to notify the appropriate personnel that an incident/accident has occurred and to initiate the reporting process.  

The example below will auto-fill with the information concerning the employee once the ID# is entered at the top of the form. Additional information that is not available in the employee record will require manual entry.  The author of the form determines which fields are required.  This is added at the time that the form is created.  The red number to the left of the image indicates the number of required fields.  The fields will turn red if the entry is left blank.

Once the form is submitted, emails are sent to the employee, supervisor, and the appropriate EH&S person.  It will then be available in the incident/accident reporting system.
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Contact Us to schedule a demo

On Site Systems, Inc.

8780 Big Bend Boulevard
Suite D
St. Louis, MO
​63119

Telephone

314-963-9934

Email

onsite@hpassist.com
  • Home
  • The EH&S Assistant
    • Radiological Safety
    • Chemical Safety
    • Biological Safety
    • Additional Modules >
      • Waste
      • Inspections
      • Fire Safety
      • Web Based Training
      • Accident/Incident
      • Emergency Response
      • Asbestos Management
      • Ergonomics Management
    • Added Value >
      • Quick Link Home Page
      • Auto-Emailing
      • Lab/Room Placards
      • Mobile Access
      • Form Registration Comparison
      • Services >
        • Link to Other In-house Data
        • Data Conversion
        • Software Support & Maintenance
  • Web Questionnaire Builder
    • Hazard Assessment
    • Registration
    • Chemical Hygiene Plan
    • Near Miss
  • What's New
    • The Latest Update
    • Permit View
    • SDS Hub Service
    • Floor Mapping
    • Chemical Kits
    • Lab Mapping
    • Chemical Transfer Request
    • Dashboard
    • PI Overview
  • Contact
  • Reviews
  • SURVEY