• Incident or Accident Report

    Incident or Accident Report

    Must be submitted by each individual involved.
  • This report must be submitted within 24 hours of the documented incident. A separate form must be submitted for each individual that is involved in an incident, or has experienced any bodily injury. 
    You will be required to take photos and provide support documents, such as police or hospital reports, to help build a case file on these incidents and accidents. 
    The report, photos, and support documents will be sent automatically to the Human Resource Manger, Operations Managers, Executive Director of Production Services, Director of Production Services. They will also be forwarded along to the corresponding Executive Producer and Account Director upon submission. 
     
    • This form must be submitted within 24 hours of the incident being reported.
    • Each individual either involved in the incident or that had any bodily injury is required to fill out a separate form. 
    • You will be required to upload photos of damage or injury in this form.
    • Any additional supporting documents, such as police or hospital reports, recieved after submission should be emailed to incidentreports@eventlinkgroup.com. 
     
    This report, uploaded photos and supporting documents will automatically be sent to all required parties. 
     
  • Are you submitting an employee complaint?

  • If you are attempting to submit an Employee Complaint or Harrassment Claim, you do not need to fill out this form, instead please email HR@eventlinkgroup.com. 

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  • Incident or Accident Report

    Incident or Accident Report

    Must be submitted by each individual involved.
  • INCIDENT or ACCIDENT INFORMATION
  • Today's date*
     - -
  • Date of Incident*
     - -
  • Is a copy of this report required for the client?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • The incident resulted in:*
  • The following pages are as follows: Bodily Injury or Illness Information, Medical Facility Information, Equipment or Property Damage Information, Vehicle Damage Information, Police Information, and Witness Information. Please complete the sections that correspond to your above selection about the incident in entirety. As an example, if an employee gets injured, please complete the Bodily Injury or Illness Information, Medical Facility Information (if applicable), and Witness Information. If an employee gets injured in a vehicle, complete the Bodily Injury or Illness Information, Medical Facility Information (if applicable), Vehicle Damage Information, and Witness Information.
  • Incident or Accident Report

    Incident or Accident Report

    Must be submitted by each individual involved.
  • BODILY INJURY OR ILLNESS INFORMATION
  • Complete the following fields if there was a person who became ill or suffered an injury resulting from an incident or vehicle accident. You will need to complete this section if the individual is an employee, participant, or any other person on the event site. If this does not apply to the situation, click the back buttom at the bottom of the page and made a new selection. 
     
  • Format: (000) 000-0000.
  • {nameOf257}'s Gender*
  • Is {nameOf257} an employee of EventLink?*
  • Does Human Resources need to call the individual's emergency contacts?*
  • Did the injury occur as a result of a vehicle accident?*
  • Did {nameOf257} seek medical attention?*
  • Did {nameOf257} refuse to seek medical attention after it was recommended to do so?*
  • Did {nameOf257} return to work on {dateOf10} after seeking medical attention?*
  • Is {nameOf257} going to miss more time from scheduled work because of this injury or illness?*
  • If {nameOf257} has any restrictions from a doctor, are there modified duties and tasks available?*
  • Did {nameOf257} drive themselves to seek medical attention?*
  • MEDICAL FACILITY INFORMATION
     
  • If the injured person was treated at a hospital, complete the following section.
  • Was a police report filed?*
  • Incident or Accident Report

    Incident or Accident Report

    Must be submitted by each individual involved.
  • EQUIPMENT OR PROPERTY DAMAGE INFORMATION
     
  • Please complete this section for any incidents that result in any equipment or property damage. Do not complete this section for vehicles.
  • Who owns the equipment or property?*
  • Is {personResponsible} and employee of EventLink?*
  • Was {personResponsible} sent for a Drug Screen?*

  • If EventLink employees are at fault, a Drug Screen must be requested through HR immediately following incident or accident.

    HR is required to submit all drug screen requests. 

  • Date {personResponsible} Sent for Drug Screen
     - -
  • Was a vehicle involved in the incident on {dateOf10}?*
  • VEHICLE DAMAGE INFORMATION
     
  • Please complete this section for any incidents or accidents that resulted in any vehicle damage. Damage to Company, client, and personal vehicles will all be completed in this section. Include ALL vehicles that are involved in the incident or accident.
  • How many vehicles were damaged on {dateOf10}*
  • Vehicle one damage*
  • Is this individual an EventLink Employee?*
  • Vehicle two damage*
  • Is this individual an EventLink employee?*
  • Vehicle three damage*
  • Is this individual an EventLink employee?*
  • Was a police report filed?*
  • Incident or Accident Report

    Incident or Accident Report

    Must be submitted by each individual involved.
  • POLICE INFORMATION
  • If a police report was filed, provide the requested information below. You will also need to obtain a copy of the police report and upload it below.
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  • Incident or Accident Report

    Incident or Accident Report

    Must be submitted by each individual involved.
  • WITNESS INFORMATION
     
  • Gather as many witnesses as you can for the Incident Accident Report.
  • How many witnesses were there?*
  • PHOTO & ADDITIONAL DOCUMENT SUBMISSION
     
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