Lumiform
Mobile audits &
inspections

Get an overview of the most important features in Lumiform.
Turn issues into corrective actions by collaborating with team members.
Create custom checklists and use logics to predefine workflows.
Share automatically generated reports and get in-depth analytics.
Quickly conduct inspections with the easy-to-use inspection app.
Easily adapt the Lumiform software to your complex organization structure.

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Accident Report Template

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Audit
Select date
Name
Address
Tel number
Position
Site
Descriptions of Accident
Location of Accident.
Time of Accident
Date of accident
Time reported
Date reported
Describe what took place
Describe injury
annotation!!!
If Accident proved fatal or major the H.S.E. MUST BE INFORMED IMMEDIATELY.
Date HSE INFORMED.
Medical attention given
First aid given by
Ambulance called
Taken to hospital
Admitted
Doctor/clinic called
Released
Hospital/doctor name
Details of immediate medical action
If no medical attention was given explain why.
Witnesses
Name
Address
Name
Address
Name
Address
Select date
Other information
Male
Female
National insurance number
Add signature
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.