Critical Incident Report Form Template for United Arab Emirates

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Key Requirements PROMPT example:

Critical Incident Report Form

"I need a Critical Incident Report Form for our construction company operating in Dubai, compliant with UAE safety regulations, that specifically addresses incidents involving heavy machinery and includes Arabic translations of key fields for our diverse workforce."

Document background

The Critical Incident Report Form is a crucial document required under UAE workplace safety regulations, designed to ensure proper documentation and handling of significant workplace incidents. It must be completed immediately following any incident that results in or could have resulted in injury, property damage, environmental impact, or operational disruption. The form aligns with UAE Federal Law No. 8 of 1980 and Cabinet Decision No. 32 of 2021, incorporating specific requirements for incident reporting and documentation. It serves multiple purposes: immediate incident response documentation, regulatory compliance, insurance claims support, and organizational risk management. The document enables systematic collection of critical information while ensuring adherence to UAE data protection and privacy requirements.

Suggested Sections

1. Incident Identifier and Classification: Unique reference number, date, time, and initial classification of incident severity

2. Reporter Information: Details of the person completing the report including name, position, contact information

3. Incident Details: Specific information about when and where the incident occurred, including exact location, timing, and duration

4. Persons Involved: Information about all individuals involved in or affected by the incident, including witnesses

5. Incident Description: Detailed narrative of what happened, including the sequence of events leading to the incident

6. Immediate Actions Taken: Description of immediate response actions, including emergency services contacted and first aid administered

7. Impact Assessment: Evaluation of the incident's impact on people, property, operations, and reputation

8. Initial Root Cause Analysis: Preliminary assessment of what caused the incident

9. Verification and Authorization: Signatures and approval sections for relevant authorities and management

Optional Sections

1. Environmental Impact: Used when incident has environmental implications - details any environmental damage or concerns

2. Media and Communications: Required for high-profile incidents - documents any media interest and communication actions taken

3. Customer Impact: Used when incident affects customers or public - details service disruptions and customer communications

4. Equipment/Asset Damage: Required when physical assets are damaged - detailed assessment of damage to equipment or facilities

5. Regulatory Reporting: Used when incident requires notification to regulatory bodies - tracks notification requirements and submissions

Suggested Schedules

1. Witness Statements: Attached forms containing detailed statements from witnesses

2. Photographic Evidence: Photos or videos documenting the incident scene and any relevant evidence

3. Medical Reports: Any relevant medical documentation if injuries occurred

4. Risk Assessment: Pre-existing risk assessment related to the activity involved in the incident

5. Incident Scene Diagram: Sketches or diagrams showing the layout of the incident scene

6. Equipment Inspection Records: Recent inspection records of any equipment involved in the incident

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Construction

Manufacturing

Healthcare

Oil and Gas

Transportation and Logistics

Hospitality

Education

Retail

Financial Services

Mining and Resources

Utilities

Chemical Processing

Telecommunications

Maritime and Ports

Aviation

Relevant Teams

Health Safety and Environment

Operations

Security

Facilities Management

Risk Management

Compliance

Quality Assurance

Emergency Response

Human Resources

Legal

Senior Management

Maintenance

Project Management

Medical Services

Relevant Roles

Health and Safety Manager

Operations Manager

Facility Manager

Department Supervisor

Site Engineer

Risk Management Officer

Compliance Officer

Security Manager

Environmental Health Officer

Quality Assurance Manager

Plant Manager

Project Manager

Shift Supervisor

Emergency Response Coordinator

HSE Specialist

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Let's create your Critical Incident Report Form

Authors

Alex Denne

Find the exact document you need

Security Guard Report Form

Health And Safety Incident Report Form

Hazard Incident Report Form

Work Place Injury Report Form

Employee Incident Report Form

Critical Incident Report Form

Incident Response Form

Incident Investigation Form

Download our whitepaper on the future of AI in Legal

Genie’s Security Promise

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