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How to Design a Template for Customer Accident Report

If a customer has an accident on your property, you can be held liable for the accident. For this reason, it is important to thoroughly document details whenever an accident happens. The customer's GL (General Liability) accident report is beneficial to the customer if they need future medical treatment because of the accident. At the same time, the GL report protects your company by allowing you to give your own account of what happened, which can protect you from fraudulent claims.

Create a section to gather the "Claimant Information." The claimant is the customer who had the accident. Document his first and last name, address, date of birth, telephone numbers, email address, and place of employment.

Create another "Date" and "Time" field underneath the previous fields. The second set of "Date" and "Time" fields is to document the date and time the accident happened.

Create an "Accident Details" section. In this section create a field for the "Location" of the accident, such as the restroom or on the curb in front of an entrance door. Create another field for "Weather Conditions," such as raining, snowing, or dry.

Create a "Date" field and a "Time" field at the top of your page to document the date and time the accident was reported.

Create a "Witnesses" section to document the names of all individuals who witnessed the accident.

Create a section to write the "Accident Description." The accident description should be written verbatim as the reporting individual reports it to you.

Difficulty: Moderately Easy

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