Health-and-safety intake for injuries, near misses, or property damage — witness details, a description, and photo attachments.
What's included
This template asks for details of injuries.
Unda Forms is hosted in Nairobi, Kenya, but parts of the service run outside Kenya — email, for example. See the list of providers. Health data carries extra obligations under Kenya's Data Protection Act; check them with your adviser before collecting real responses.
What happened, who was involved and any injuries or damage. Please complete this as soon as possible after the event.
Preview mode — this is the real form renderer, but responses are not submitted.
