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Hazard Incident Report Form

Hazard Incident Report Form Template for Singapore

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Key Requirements PROMPT example:

Hazard Incident Report Form

"Need a Hazard Incident Report Form for our construction site in Singapore that includes specific sections for crane operations and height safety incidents, with additional focus on photographic evidence requirements and immediate notification procedures for senior management."

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Document background
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.
Suggested Sections

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

Optional Sections

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

Suggested Schedules

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

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alex.den.21@genieai.co
Industries

Workplace Safety and Health Act (WSHA): Primary legislation governing workplace safety in Singapore that sets out duties of employers, employees, and other stakeholders, and defines reportable incidents and reporting requirements

Workplace Safety and Health (Incident Reporting) Regulations: Subsidiary legislation that specifies mandatory reportable incidents, reporting timeframes, and required information to be included in incident reports

Personal Data Protection Act (PDPA): Legislation governing the collection, use, and disclosure of personal data, ensuring privacy protection in incident reporting and handling of affected individuals' information

Workplace Injury Compensation Act (WICA): Act that determines compensation requirements for workplace injuries and influences necessary documentation for injury-related incidents

Ministry of Manpower (MOM) Guidelines: Regulatory guidelines providing specific reporting requirements, severity classifications, and investigation procedures for workplace incidents

iReport System Requirements: Technical and procedural requirements for MOM's electronic reporting system used for incident reporting in Singapore

10-Day Reporting Requirement: mandatory timeframe for reporting accidents through the proper channels to regulatory authorities

Immediate Reporting Requirement: Obligation to report dangerous occurrences immediately to relevant authorities without delay

Record Retention Requirements: mandatory requirement to maintain incident reports and related documentation for a minimum period of 3 years

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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