Hazard Incident Report Form Template for United Arab Emirates

1. Environmental Impact Assessment: Required when incident involves environmental damage or potential environmental risks

2. Equipment/Property Damage Details: Used when incident involves damage to equipment, vehicles, or property

3. Chemical/Hazardous Materials Information: Required when incident involves hazardous substances or chemical spills

4. Medical Treatment Details: To be completed when incident results in injury requiring medical attention

5. Free Zone Specific Information: Additional information required for incidents occurring within UAE Free Zones

6. Contractor/Third Party Details: Required when incident involves contractors or third-party personnel

1. Appendix A - Site Plan/Location Map: Marked diagram showing incident location and relevant surroundings

2. Appendix B - Photographic Evidence: Photos or visual documentation of the incident scene and damages

3. Appendix C - Witness Statement Forms: Standardized forms for collecting detailed witness accounts

4. Appendix D - Risk Matrix: Standard risk assessment matrix for incident classification

5. Appendix E - Regulatory Authority Notification Checklist: List of relevant authorities to be notified based on incident type

6. Appendix F - Emergency Contact Directory: List of emergency contacts and reporting channels

7. Appendix G - Investigation Follow-up Form: Template for documenting subsequent investigation findings and actions