ΊμΠΣΦ±²₯

Legal Templates
Health And Safety Incident Report Form

Health And Safety Incident Report Form for Singapore

Health And Safety Incident Report Form Template for Singapore

Your data doesn't train Genie's AI

You keep IP ownershipΒ of your information

Generate a Bespoke Document

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Download a Standard Template

Get our Singapore-compliant Health And Safety Incident Report Form

4.6 / 5
4.8 / 5
Access for free
OR

Alternatively: Run an advanced review of an existing
Health And Safety Incident Report Form

Let ΊμΠΣΦ±²₯'s market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.

What is a Health And Safety Incident Report Form?

The Health And Safety Incident Report Form is a crucial document required under Singapore's workplace safety regulations. It must be completed whenever a workplace incident occurs, including accidents, injuries, dangerous occurrences, or near-misses. The form aligns with Ministry of Manpower (MOM) requirements and must be submitted within specified timeframes depending on incident severity. It collects comprehensive information about the incident, affected persons, witnesses, and immediate actions taken, serving both immediate reporting needs and long-term risk management objectives.

What sections should be included in a Health And Safety Incident Report Form?

1. Incident Details: Basic information including date, time, location, and type of incident

2. Affected Person(s) Information: Personal details, job role, contact information of injured/affected parties, in compliance with PDPA requirements

3. Incident Description: Detailed account of what happened, including sequence of events and circumstances

4. Witness Information: Details of any witnesses to the incident, including contact information

5. Immediate Actions Taken: Emergency response measures and immediate corrective actions implemented

What sections are optional to include in a Health And Safety Incident Report Form?

1. Medical Treatment Details: Information about medical attention received, required when injury resulted in medical treatment

2. Property Damage Assessment: Details of any damage to property or equipment, required when incident involved property damage

3. Environmental Impact Assessment: Assessment of environmental consequences, required when incident involved environmental hazards

What schedules should be included in a Health And Safety Incident Report Form?

1. Photographs and Visual Evidence: Visual documentation of the incident scene, injuries, or damage

2. Witness Statements: Written accounts from witnesses collected according to MOM guidelines

3. Medical Reports: Copies of relevant medical documentation and certificates

4. Risk Assessment Update: Updated risk assessment following the incident and preventive measures

Authors

Alex Denne

Head of Growth (Open Source Law) @ ΊμΠΣΦ±²₯ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions






























Clauses




















Industries

Workplace Safety and Health Act (WSHA): Primary legislation that establishes fundamental requirements for workplace safety, defines reporting obligations for workplace incidents, and establishes penalties for non-compliance in Singapore

Workplace Safety and Health (Incident Reporting) Regulations: Subsidiary legislation that specifies which incidents must be reported, details reporting timeframes (e.g., 10 days for fatal accidents), and outlines required information in incident reports

Work Injury Compensation Act (WICA): Legislation governing compensation for workplace injuries, determining what information needs to be collected for potential claims and compensation processes

Ministry of Manpower (MOM) Guidelines: Regulatory guidelines providing specific reporting requirements, templates, and best practices for health and safety incident reporting in Singapore

Personal Data Protection Act (PDPA): Legislation governing the collection, use, and storage of personal data, including requirements for consent and data protection in incident reports

Medical Records Requirements: Regulatory requirements regarding the confidentiality, handling, and retention periods for medical records related to workplace incidents

Reporting Deadlines Framework: Statutory timeframes requiring 10-day reporting for deaths and extended hospitalization cases, and immediate reporting for dangerous occurrences

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, Β Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, Β Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

No matches found.

Security Guard Report Form

A Singapore-compliant security incident reporting form for documenting security-related events and actions taken by security officers.

find out more

Patient Safety Incident Reporting Form

A Singapore-compliant form for reporting patient safety incidents in healthcare settings, aligned with MOH requirements.

find out more

Incident Notification Form

A standardized form for reporting workplace incidents in Singapore, complying with local safety regulations and MOM requirements.

find out more

Health And Safety Incident Report Form

A Singapore-compliant workplace incident reporting form meeting MOM and WSHA requirements for documenting safety incidents and injuries.

find out more

Hazard Report Form

A standardized form used in Singapore for reporting workplace hazards in compliance with WSHA regulations.

find out more

Hazard Incident Report Form

A Singapore-compliant form for reporting workplace hazards and incidents under MOM regulations.

find out more

Work Place Injury Report Form

A mandatory Singapore MOM form for reporting workplace injuries and accidents, compliant with WSHA and WICA regulations.

find out more

Employee Incident Report Form

A Singapore-compliant form for recording and reporting workplace incidents and accidents, aligned with WSHA and WICA requirements.

find out more

Security Incident Report Form

A standardized form for reporting security incidents in Singapore, compliant with PDPA and Cybersecurity Act requirements.

find out more

Incident Response Form

A standardized form for documenting and managing security incidents in Singapore, ensuring compliance with local data protection and cybersecurity regulations.

find out more

Incident Investigation Form

A Singapore-compliant workplace incident investigation documentation tool meeting MOM and WSHA requirements.

find out more

³±π²ΤΎ±±π’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; ³±π²ΤΎ±±π’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

We are ISO27001 certified, so your data is secure

Organizational security:

You retain IP ownership of your documents and their information

You have full control over your data and who gets to see it

Free CustomΒ Legal Docs

Your first 2 documents are completely free
You keep IP ownership of your information
Your data doesn't train Genie's AI
*No Sign-up Required