Work Related Accidents OR HAZARD

Form

Please fill out the report at the bottom of the page. Once received, a member of our team will contact you within 2 business days. This is a completely confidential process. You must also report the event to a representative of the producer, even if you are able to continue working.

THERE ARE NOW 3 CATEGORIES OF SITUATIONS:

1. Dangerous condition is defined as a risk that is present and/or latent, which not resulted in an incident or an injury but is liable to do so (e.g. working on a roof, near the edge of the roof).
   
   
2. Near miss is defined as an incident that has occurred and did not result in an injury but is liable to do so (e.g. slipping on a puddle of water on the floor but regaining one's balance without falling).
   
   
3. Accident is defined as an incident that has occurred and has resulted in an injury that requires attention, such as first aid or a medical consultation (e.g. suffering a sore back while handling lighting equipment).

reference Documents 

• CNESST Guide - AQTIS 514 IATSETechnician accident (In French only)
• Secouriste sur un plateau

• Accident register for first aid attendants and first aiders

• Form - Register accidents incidents first aid

Important: Completing this form does not constitute filing a CNESST claim.