- Incident Public Web Form Module

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The Incident Public Web Form enables organizations to have all stakeholders report incidents from any location. Stakeholders simply go to the web to report the incident. No login, username or password is required. Incident Reports are automatically transferred to the IndustrySafe Software, and IndustrySafe users are automatically notified by email of the incident.

  • Compliance with OSHA Recordkeeping
  • Multiple Incident Types -Near Miss, Vehicle, Employee Injury, Non-Employee Injury, Environmental
  • Easy to Use Incident Reporting Form
  • Accessible to all stakeholders via url
  • Stakeholders can print a hard paper copy of their Incident Report
  • Automatic Data Transfer to IndustrySafe Incident Module
  • Auto fill Employee, Treatment, and Facility Information
  • Incident Investigation and Root Cause Analysis
  • Automatically Alert IndustrySafe Users of Incident Reports
  • Upload Your Logo to the Form

  • Add/Edit/Remove Fields
  • Configure Automatic Email Notifications
  • Upload Supporting Documents
  • Multiple Locations, Users, Regions Etc.
  • Available in Multiple Languages

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In conjunction with the IndustrySafe Incident Module organizations can easily report and track all types of Incidents including injury and illness, vehicle, fire, environmental, near misses, and more with the Incident Public Web Form. The Incident Public Web Form can be made accessible to all of your stakeholders via a simple web link to allow for easy incident reporting.

Sample -Incident Reporting Form

The Incident Public Web Form allows for smart and easy data entry. Based on answers to previous questions, the Incident Reporting Form will adjust to display the appropriate questions so that your workforce can save time in data entry and only answer the questions relevant to their incident.

IndustrySafe Software System Admministrators can determine which questions to display on the public incident web form, so that your workforce can report detailed incident investigation responses or a simple first notice of incident, depending on the needs of your organization.

The Incident Public Web Form is broken into manageable sections and stakeholders cannot move on to the next section of the the incident report until all required fields in a section are complete. Via the IndustrySafe Software, IndustrySafe System Administrators can determine required fields on the Incident Reporting Form.

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Incident Reporting Form Confirmation Screen

Once an incident is complete via the public form, stakeholders view a confirmation email; can upload attachments; and print a paper copy of their incident report. All data is automatically transferred to the IndustrySafe Software for more detailed follow up, analysis, and analytics by key team members including environmental, health, and safety professionals.

In conjuction with the IndustrySafe Incident Module, the Incident Public Web Form is a critical tool for supervisors overseeing incident reporting and management, and as a whole this safety software enables comprehensive safety management across an organization.

Safety coordinators rely on IndustrySafe safety management software as their safety and health dashboard. They are able to enable automatic notifications across each of its modules to keep other managers better informed, upload supporting documents when required and compare key indicators across modules.

Administrators are subsequently provided greater control over their incident management tracking, inspections and OSHA reporting. With IndustrySafe health and safety management software, users are armed with the tools to better oversee the well-being of their workforce.

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