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What is an example of an incident report?

An Incident Report Must Be Accurate and Specific. When you write an incident report, you must be specific and accurate about the details, not merely descriptive. For example, instead of writing "the old patient", it is more accurate to describe him as "the 76-year old male patient".

What to include on the incident report?

The incident report for an accident or injury such as a fall should include the following information: Circumstances of the incident. Date, time, and location of fall, and during which shift and on what unit the fall occurred. Witnesses', staff members', and resident's accounts of the incident.

What is incident accident report?

Accident/Incident Report Form. An accident is an unplanned event that results in an injury or could have resulted in an injury or results in damage to equipment or property OR harm to the environment.


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