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Work Place Injury Report Form

Work Place Injury Report Form Template for Hong Kong

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Key Requirements PROMPT example:

Work Place Injury Report Form

"I need a Work Place Injury Report Form for our construction company in Hong Kong that includes additional sections for heavy machinery incidents and multiple language support (English and Traditional Chinese), compliant with updated 2025 safety regulations."

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Document background
The Work Place Injury Report Form is a crucial document required under Hong Kong's Employees' Compensation Ordinance (Cap. 282) for reporting workplace accidents and injuries. It must be completed by employers within 14 days for non-fatal accidents and within 24 hours for fatal accidents. The form collects comprehensive information about the incident, including employee details, accident circumstances, injury description, and medical treatment received. This documentation is essential for processing workers' compensation claims, maintaining safety records, and complying with regulatory requirements. The form also serves as a valuable tool for internal investigation and implementation of preventive measures to avoid similar incidents in the future.
Suggested Sections

1. Employee Information: Essential details about the injured employee including name, HKID/passport number, occupation, and contact information

2. Employer Information: Company details including business registration number, company name, address, and contact information

3. Accident Details: Specific information about when and where the accident occurred, including date, time, and exact location within the workplace

4. Injury Description: Detailed description of the injury sustained, including nature and location of injury on body

5. Accident Description: Detailed account of how the accident occurred, including what the employee was doing at the time

6. Medical Attention: Information about initial medical treatment received, including hospital/clinic details and attending physician

7. Witness Information: Names and contact details of any witnesses to the accident

8. Declaration: Signed declaration confirming the truthfulness of the information provided

Optional Sections

1. Photos/Diagrams: Section for attaching relevant photos of the accident scene or diagrams illustrating how the accident occurred - used when visual documentation is available

2. Safety Equipment: Details of any personal protective equipment or safety measures in place at the time - relevant when the incident involves safety equipment

3. Previous Incidents: Information about any related previous incidents or near-misses - included when there is relevant history

4. Third Party Involvement: Details of any third parties involved in the incident - used when external parties are involved

5. Property Damage: Description of any damage to company property or equipment - included when applicable

Suggested Schedules

1. Medical Certificate: Attachment of original medical certificates from attending physician

2. Wage Records: Documentation of employee's earnings for the past 12 months for compensation calculation purposes

3. Incident Photos: Photographic evidence of the accident scene, injuries, or relevant equipment

4. Investigation Report: Detailed internal investigation findings and recommendations

5. Witness Statements: Written statements from witnesses, if any

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
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Relevant Industries

Manufacturing

Construction

Logistics

Retail

Hospitality

Healthcare

Education

Financial Services

Information Technology

Transportation

Warehousing

Food and Beverage

Property Management

Industrial

Mining

Agriculture

Professional Services

Relevant Teams

Human Resources

Health and Safety

Operations

Facilities Management

Risk Management

Compliance

Legal

Employee Relations

Workers' Compensation

Occupational Health

Relevant Roles

Human Resources Manager

Safety Officer

Facility Manager

Department Supervisor

Risk Manager

Compliance Officer

Operations Manager

Site Manager

Factory Manager

Office Manager

Project Manager

Health and Safety Coordinator

Workers' Compensation Specialist

Employee Relations Manager

General Manager

Line Supervisor

Department Head

Industries




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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