Suggestion a Template for Accident Reporting Form

  • MOHAMMAD SADEGH SOHRABI Center of Excellence for Occupational Health, Research Center for Health Sciences, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
  • NEDA MAHDAVI Department or Ergonomics, Hamadan University of Medical Sciences, Hamadan, Iran
  • OMID KALATPOUR Department of Industrial Design, School of Architecture and Urban Design, Art University of Isfahan, Isfahan, Iran.
Keywords: Occupational injuries, Safety, Iran


 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 evaluated the adequacy of injury and illness report forms and resolved 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 to 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. Iran's Social Security Form (ISSF) has 60% of all listed entries for workplace and employer information section. About 40% of all other information entries for this section are missed. This form contained 60% of the workplace information section, 28% for accident information and 54% for injured person information. Accident condition section for ISSF is nearly complete. ISSF lacks some necessary information in the recording of outcomes of accident and medical treatment information. Finally, we suggested a revised form 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.


U.S. Department of Labor, Bureau of Labor Statistics. (2016). National census of fatal occupational injuries in 2016. Retrieved May 28, 2017, from

Takala, J., Hamalainen, P., Saarela, K. L., Yun, L. Y., Manickam, K., Jin, T. W., Lin, G. S. Global estimates of the burden of injury and illness at work in 2012. J Occup Environ Hyg 2014; 11(5), 326-337.

Webb GR, Redman S, Wilkinson C, Sanson-Fisher RW. Filtering effects in reporting work injuries. Accid Anal Prev 1989;21(2):115-23

Randall SB, Pories WJ, Pearson A, Drake DJ. Expanded Occupational Safety and Health Administration 300 log as metric for bariatric patient-handling staff injuries. Surg Obes Relat Dis 2009;5(4):463-8.

Australian Standard Worksafe Australia National Standard. the Workplace injury and disease recording standard, 1990.

Probst TM, Barbaranelli C, Petitta L. The relationship between job insecurity and accident under-reporting: A test in two countries. Work & Stress 2013;27(4):383-402.

U.S. Department of Labor, Bureau of Labor Statistics (2015). Employer-Reported Workplace Injuries And Illnesses. Retrieved May 28, 2017, from

Hämäläinen P, Takala J, Saarela KL. Global estimates of occupational accidents. Saf Sci 2006;44(2):137-56.

McCurdy SA, Schenker MB, Samuels SJ. Reporting of occupational injury and illness in the semiconductor manufacturing industry. Am J Public Health 1991;81(1):85-9.

Pransky G, Snyder T, Dembe A, Himmelstein J. Under-reporting of work-related disorders in the workplace: a case study and review of the literature. Ergonomics 1999;42(1):171-82.

Rosenman KD, Kalush A, Reilly MJ, Gardiner JC, Reeves M, Luo Z. How much work-related injury and illness is missed by the current national surveillance system? J Occup Environ Med 2006;48(4):357-65.

Evanoff B, Abedin S, Grayson D, Dale AM, Wolf L, Bohr P. Is disability underreported following work injury? J Occup Rehabil 2002;12(3):139-50.

U.S. Department of Labor. OSHA’s Form 300. In: Occupational Safety and Health Administration, editor. (Rev. 01/2004); 2004.

Alaska department of labor & workforce development Division of Workers' Compensation. Employer report of occupational injury or illness 2013.

UK Health and Safety Executive. Reporting of Injuries Diseases and Dangerous Occurrences Regulations (RIDDOR) 2013.

Australian Standard Worksafe Australia National Standard. the Workplace injury and disease recording standard 1990.

Compensation for occupational injuries and diseases act. Employer's Report of an Accident. In: Republic of South Africa Labour Department, editor 1993.

March L, Smith EU, Hoy DG, Cross MJ, Sanchez-Riera L, Blyth F, et al. Burden of disability due to musculoskeletal (MSK) disorders. Best Pract Res Clin Rheumatol 2014;28(3):353-66.

Waclawski E. Disease reporting after the Reporting of Injuries, Diseases, and Dangerous Occurrence Regulations (1995) (RIDDOR) is revised. Occup Med (Lond) 2013;63(3):168-9.

Azaroff LS, Levenstein C, Wegman DH. Occupational injury and illness surveillance: conceptual filters explain underreporting. Am J Public Health 2002;92(9):1421-9.

Friedman LS, Forst L. The impact of OSHA recordkeeping regulation changes on occupational injury and illness trends in the US: a time-series analysis. Occup Environ Med 2007;64(7):454-60.

Jacinto C, Aspinwall E. A survey on occupational accidents’ reporting and registration systems in the European Union. Saf Sci 2004;42(10):933-60.

Begg S, Vos T, Barker B, Stevenson C, Stanley L, Lopez AD. The burden of disease and injury in Australia 2003. Australian Institute of Health and Welfare 2007.

How to Cite
SOHRABI MS, MAHDAVI N, KALATPOUR O. Suggestion a Template for Accident Reporting Form. ijoh. 9(4):215-22.
Original Article(s)