Suggesting template for accident reporting form

The successful implementation of the preventive interventions and corrective actions are considerably dependent on the existence of a sound system for incidents record keeping and analyzing. This study tries to evaluate the adequacy of injury and illness report forms. Resolving the found limitations to improve the safety management systems in general. A structural surfing method was employed to search the intended information. All obtained information forms of the foreign countries that conveyed less information than to the base form were excluded from the study. Accordingly, five forms remained in the research path. Overall structure of all forms was compared for three sections. In aforementioned forms, 12% of total information belonged to the workplace and employer information section, 55% and 33% was in the incident information and injured worker information sections, respectively. The Iran's Social Security Form (ISSF) have 60% of all listed entries for workplace and employer information section. It means that 40% of all other information entries for this section is missed. This form contained 60% of the workplace information section, 28% for accident information and 54% for injured person information. The comparison showed that accident condition section for ISSF is nearly complete. ISSF lacks some necessary information in the recording of final outcomes of accident and medical treatment information. Finally, we suggested a revised form that has been presented based on the strengths and weaknesses of all forms. This form proposed to will be used in a pilot study in fields for reporting occupational accidents and then be legally present for implementation.