Health and safety arrangements
KD-HSA-AR-003
Accident, Incident and RIDDOR Reporting Arrangements
The reporting arrangement: the accident book, the near-miss report, the investigation method, who decides on RIDDOR and reports, how findings reach the workforce and the director, and the three-year figures and enforcement history an assessor asks for.
2 pages · 53 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 2 — click to enlarge
Read all 2 pages first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- RIDDOR 2013 regs 4 to 8 and 12
- Social Security (Claims and Payments) Regulations 1979 reg 25
- MHSWR 1999 reg 5
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
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