Injury/Near Miss (INM) Reporting

Promotional

• Memo: New WRHA / SH INM Reporting Form
  • Shared Health Poster
  • WRHA Poster

INM Reporting – Process Documents

Employee Responsibilities and Procedures:

• Work Related Injury/Near Miss – TIME SENSITIVE ACTIONS FOR EMPLOYEES
• Employee Responsibilities and Procedures for Work Related Injury or Illness

Manager/Supervisor Responsibilities and Procedures for Work Related Injury or Illness:

• Call- In Process
  • Injury Near Miss Poster
• Paper Process
  • INM Reporting Process SOP
• Memo: WCB Coding

Regional Forms

• Work Related Injury / Near Miss – Form 1 (pages 1-2 of 3)
  • WRHA / Shared Health INM Reporting Contact List (page 3 of 3)

• Corrective Action / Investigation – Form 2
• Serious Incident Investigation Form
  • Serious Incident Reporting
• Modified Duty Forms

Training Resources

• Conducting Investigations PowerPoint
• 5 Why's – Slip and Fall Examples
• 5 Whys Patient Handling Example 1 – Slider Sheets
• 5 Whys Patient Handling Example 2 – ACES

Other Reporting

• Patient Safety Event Reporting
  • WRHA
  • Shared Health
• Security Incident Reporting – IRIMS  

Back to Section 5 – Environmental Safety

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