Health & Safety Accident Reporting Form — British Frozen Food Federation (BFFF)

Tue 19th November, Park Plaza, Westminster Bridge – BOOK NOW!

Health & Safety Accident Reporting 2023

GENERAL INFORMATION

Company Name*

Contact Name*

Email Address*

Number of Employees*

Select your sector*

Number of all accidents in 2023 including RIDDOR*

Of all accidents, number of reportable (RIDDOR) in 2023*

BREAKDOWN OF ACCIDENTS

Please enter the total number of accidents in the following questions (NOT including RIDDOR). If none, please enter 0

Contact with harmful substances*

Electricity*

Falls from Height*

Hit by Falling / Moving Object*

Hit by Moving Vehicle*

Hit by Something Fixed / Stationary*

Manual Handling*

Moving Machinery*

Slips and Trips*

Other Incident(s)*

Do you have any reportable accidents (RIDDORS)*

BREAKDOWN OF RIDDOR

Please enter the total number of accidents in the following questions. If none, please enter 0

RIDDOR: Contact with Harmful Substances*

RIDDOR: Electricity*

RIDDOR: Falls from Height*

RIDDOR: Hit by Falling / Moving Object*

RIDDOR: Hit by Moving Vehicle*

RIDDOR: Hit by Something Fixed / Stationary*

RIDDOR: Manual Handling*

RIDDOR: Moving Machinery*

RIDDOR: Slips and Trips*

RIDDOR: Other Incident*

Do you have any Occupational Health cases?*

OCCUPATIONAL HEALTH

Please enter the total number of accidents in the following questions. If none, please enter 0

Back injury*

Mental ill health*

Work related upper limb disorder (WRULD)*

Occupational Asthma*

Occupational Dermatitis*

Occupational Hearing Loss*

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Health & Safety Accident Reporting 2023

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