How to Design a Template for Customer Accident Report
If a customer has an accident on your property, you can be held liable for the accident. For this reason, it is important to thoroughly document details whenever an accident happens. The customer's GL (General Liability) accident report is beneficial to the customer if they need future medical treatment because of the accident. At the same time, the GL report protects your company by allowing you to give your own account of what happened, which can protect you from fraudulent claims.
Other People Are Reading
Instructions
-
-
1
Create a "Date" field and a "Time" field at the top of your page to document the date and time the accident was reported.
-
2
Create another "Date" and "Time" field underneath the previous fields. The second set of "Date" and "Time" fields is to document the date and time the accident happened.
-
-
3
Create a section to gather the "Claimant Information." The claimant is the customer who had the accident. Document his first and last name, address, date of birth, telephone numbers, email address, and place of employment.
-
4
Create an "Accident Details" section. In this section create a field for the "Location" of the accident, such as the restroom or on the curb in front of an entrance door. Create another field for "Weather Conditions," such as raining, snowing, or dry.
-
5
Create a section to write the "Accident Description." The accident description should be written verbatim as the reporting individual reports it to you.
-
6
Create a "Witnesses" section to document the names of all individuals who witnessed the accident.
-
7
Create an "Injuries" section to document any injuries or pain that happened as a result of the accident. If no injuries or pain are reported, be sure to state so in this section.
-
8
Create an "Officials" field to document whether or not the police or paramedics were called to the accident scene.
-
9
Create a section for "Medical Treatment." In this section, document all medical treatment details. For example, you gave the claimant an ice pack, the claimant refused treatment or the paramedics treated claimant on site.
-
10
Create a final section for "Special Notes" or "Observations." In this section, you can write your own observations.
-
1
