Health and Safety at Work etc Act 1974
The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013

Report of an Injury

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About you and your organisation




About where the incident happened


About the Incident

In which local authority did the incident occur?  

Please indicate the local authority area in which the site is located. You need to select the Country first, then the geographical area (England only), and finally the local authority.
Selecting the local authority will help ensure that the appropriate Enforcing Authority (EA) for that area receives the notification.
For local authorities in England, each is allocated to a geographical area. The information is available on gov.uk 'Find your local council' opens in new window





What type of work was being carried out (generally the main business activity on the site)?

Enter information on the industry to which the accident should be classified. In most cases this will involve classifying the main activity underway at the site where the accident happened. A key exception to this is when the Injured Person is a mobile worker operating away from their home site. In this case please classify the type of work the mobile worker was undertaking at the time of the accident.
The categories on this form are based on Standard Industrial Classification (SIC 2007). To check which detailed activities are available under each main industry, these are available in an Excel Spreadsheet opens in new window.
It is estimated that around one third of RIDDOR reports in health and social care are recorded using the incorrect work activity. For further information on coding health and social care RIDDOR reports please refer to the Guidance opens in new window.

About the kind of accident

Indicate the work process involved at the time of the incident.
This relates to the process that the injured person was directly involved in when they sustained their injuries and may be different from the main activity carried out at the installation or vessel.
The main factor relates to the underlying cause of the incident which may differ from the kind of accident that you have provided.
For example, a worker receiving an electric shock (main factor = shock) falls from scaffolding (kind of accident = fall from height).

Please provide further relevant information. For instance:
  • further details about the operation or activity in progress
  • the environmental conditions
  • the name of any substances involved
  • the name and type of any machinery involved
  • the events that led to the incident
  • the part played by any people
  • action taken (if any) to prevent similar incidents occurring.

About the Injured Person




Injured person's employment status

Please indicate the injured person's employment status.
Member of the public includes school children, users of services, e.g. shoppers, hotel guests, passers-by (i.e. those not involved in the work activity).
Selecting Member of the public restricts the information you may select for the severity of the injury sustained. The 'Occupation description' field does not apply to Members of the Public - the field will auto-populate stating - 'Member of the public - Job title not applicable'.
Provide details of the injured person's employer if you have indicated that they are employed by someone else or on a training scheme.


About the severity of the person's injuries 

Please indicate the severity of the injury the injured person sustained.
Select:
  • Fatality - if the injured person died as a result of their injuries.
  • Specified injury - if the injuries sustained constitute a specified injury under the RIDDOR Regulations. This category does not apply to members of the public.
  • Injury preventing the injured person from working for more than 7 days - (This category is only relevant if the injury is not a 'specified injury'.) You must report injuries that lead to a worker being incapacitated for over seven consecutive days. The report must be made within 15 days of the accident. This category does not apply to members of the public.
  • Member of the public - if the injured person was a member of the public and had to be taken directly to hospital / if the injured person was already on hospital premises, and the injury is one of those listed in the 'specified injuries' list. (The severity selected should be Member of the public in these incidents.) This category does not apply to workers.
Why are some choices unavailable?
Some choices are not available because of information you have previously entered in the form, (as applicable under RIDDOR). For example:
  • If an employment status of 'member of the public' is chosen, this restricts the options, as RIDDOR only allows the severity of injury to such persons to be classified as 'fatality' or 'member of the public.
  • Conversely, if the employment status is any except 'member of the public' (that is, they are a worker), then the severity can only be 'fatality', 'specified injury' or 'over-7-day'.
Please indicate the severity of the injury the injured person sustained.


About the person's injuries

Thank you for submitting your RIDDOR form

Your form has been received and has been assigned the reference number . If you wish to keep a copy of the form, please download it using the button below. YOU WILL NOT RECEIVE ANY OTHER CONFIRMATION.

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