• Ryde House Group Accident and Injury Report Form

  • The legal requirements for recording and reporting accidents, diseases and dangerous injuries at work are laid down in the Social Security (Claims and Payments) Regulations, the Social Security Administration Act and the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR).
  • Recording Accidents at Work

    To comply with regulation, a record of injuries that happen to any person (employee, client, visitor) must be retained. 

    Safety Representatives are legally entitled to be given/receive information from completed accident forms under the Safety Representatives and Safety Committees Regulations and the Health and Safety (Consultation with Employees) Regulations. All accident form submissions are automatically made available to RHG Health & Safety Officers.

    If the injured person ticks the box (and authenticates the consent with his/her signature) then the information contained within the record may also be disclosed to other elected Health & Safety representatives and any other third party requiring the information. Where consent is not obtained, the information will be anonymised to enable disclosure. 

  • Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR)

    RIDDOR states that an employer must notify, report and record some deaths and injuries that arise from accidents at work.

    You must produce RIDDOR records when asked by HSE or local authority inspectors. 

    RIDDOR records will always be disclosed to RHG health and safety officers.

  • 1. ABOUT THE PERSON WHO HAS HAD THE ACCIDENT OR INJURY

    The injured person must not complete this form. If you have had an accident or injury please speak to another member of staff (senior or manager) who will report it on your behalf. 

  • 2. ABOUT YOU, THE PERSON COMPLETING THIS FORM

  • 3. ABOUT THE ACCIDENT/INJURY

  •  - -Pick a Date :

  • If this accident requires further investigation or has/is likely to result in a requirement to report under RIDDOR, the form will be automatically forwarded to health.safety@rydehouse.com for further action. 

     

  • 4. FOR THE INJURED PERSON ONLY

    By ticking the box below I give consent to my employer to disclose my personal information and details of the accident which appear on this form to safety representatives and representatives of employee safety for them to carry out health and safety functions given to them by law.

  • Clear
  • 5. FOR COMPLETION BY THE HEALTH AND SAFETY REPRESENTATIVE ONLY

    Please complete this section if this accident/injury is reportable under RIDDOR.

  • HR

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