Incident/Accident Report
UPDATED 2023
The Briggs Incident/Accident Report is used to record events of an incident or accident that involves a resident, employee, visitor or any other person within your facility/campus.
The Report provides prompts to ensure thorough documentation of the specifics of the incident/accident, what and who was involved as well as potential injury and resulting treatment. Data collected on this report is reviewed by the facility's Medical Director and the facility's Quality Assurance and Safety Committees. Once completed, the Report is retained in the Business Office - not the resident's medical record or personnel file.
8 1/2" x 11", white paper, black ink, padded in 100s.