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Hazard Incident Report Form Template for Singapore

A standardized form mandated under Singapore's Workplace Safety and Health Act for documenting and reporting workplace hazards and incidents. The form captures crucial information about safety incidents, including details of the occurrence, affected parties, immediate actions taken, and subsequent follow-up measures. It complies with Ministry of Manpower requirements and serves as an official record for regulatory compliance and internal safety management purposes.

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What is a Hazard Incident Report Form?

The Hazard Incident Report Form is a critical document required under Singapore's workplace safety regulations. It must be completed when workplace incidents, accidents, or dangerous occurrences are identified, serving as both a legal requirement and a risk management tool. The form captures essential information needed for compliance with the Workplace Safety and Health Act and associated regulations, enabling proper investigation, corrective action, and regulatory reporting. It supports Singapore's robust workplace safety framework and helps organizations maintain detailed records of safety-related events.

What sections should be included in a Hazard Incident Report Form?

1. Incident Information: Date, time, location, and type of incident

2. Reporter Details: Name, position, contact information of person filing report

3. Affected Persons: Details of injured/affected individuals, including employment status

4. Incident Description: Detailed account of what happened, including sequence of events

5. Immediate Actions Taken: Emergency responses and immediate control measures implemented

What sections are optional to include in a Hazard Incident Report Form?

1. Witness Statements: Used when witnesses were present during incident

2. Medical Report Details: Required when medical treatment was administered

3. Property Damage Assessment: Include when physical assets were damaged

4. Environmental Impact: Required for incidents involving environmental hazards

What schedules should be included in a Hazard Incident Report Form?

1. Photographs: Visual documentation of incident scene and damages

2. Medical Certificates: Copies of medical documentation if applicable

3. Risk Assessment: Previous risk assessments related to the activity

4. Investigation Findings: Detailed investigation report if conducted

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Singapore

Document Type

Incident Report

Cost

Free to use

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