What happened, when it happened, why it happened, and how to prevent it in the future. It is divided into three spaces, so you can fill them in order. A well-written account is not long and clear.
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Expressions of emotion obscure the facts. Write down any unconfirmed information as “Confirming.”
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STATEMENT OF CIRCUMSTANCES
| Department | Rank/Position | ||
|---|---|---|---|
| name | contact | ||
| Date and time of occurrence | place of occurrence | ||
| Subject | |||
1. Circumstances of the incident
2. Cause
3. Measures to prevent recurrence
We confirm that the above information is true and we will faithfully implement it to prevent recurrence.
Author:
(Signature or Seal)
Longer content will have an A4 border and page count. One sheet of writing instructions is added to the Word file.
A report is a document that records the facts and reports the process when an accident or problem occurs. It is also called a statement of remorse, but a statement of remorse is more about reflection and apology, and a statement of truth is more about confirming the facts. First check which one the company requires.
The most important thing about this document is the chronological order. What you did at what time, when you noticed the problem, and what you did should be written in order so that the reader can reconstruct the situation. A mix of excuses obscures fact-checking.
Measures to prevent recurrence are more effective when they are written down as procedures to be changed, rather than through formal commitments. If the procedure needs to be changed Before business cooperationrequest to the relevant department, and the result of the discussion is proceedingsThe flow that is left is natural.
The table contains author information and an overview of the incident, and the circumstances, causes, and measures to prevent recurrence are placed in separate columns below it. At the end, a confirmation text, signature, and submission address are included.
When you don't know what to write and in what order.
When an incident report needs to be compiled and uploaded to a higher level.
When incidents and remedial actions must be documented.
When you need to organize how a claim occurred and the processing results.
A statement of fact is a document that records the facts about how something happened, a statement of explanation is a document that admits a mistake and adds an apology, and a statement of reason is a document that explains why a certain action was taken. In practice, it is often used without distinction, so it is safe to check the nature of the request.
The request to submit a statement of facts to confirm facts is generally viewed as the scope of a work order. However, forcing the writing of a reflective document is an area that can be contested. If it is a burdensome matter, ask if you can replace it with a statement containing only the facts, and consult with a labor expert if necessary.
One A4 sheet is sufficient. Chronological order and factual accuracy are more important than length. For unconfirmed guesses, write "Checking" and leave it up for correction later.
If the facts are clear and your responsibility is clear, it is better to acknowledge it briefly. However, if you include phrases that comprehensively acknowledge responsibility without organizing them, it may be used against you later in determining disciplinary action or compensation for damages, so write down the statement of facts and admission of responsibility separately.
The report is a fact-confirmation document and not a disciplinary decision itself. Disciplinary action is decided through the procedures set forth in the employment rules. If you are given a separate opportunity to explain, you may submit additional materials at that time.
It helps if you have it. Visual materials such as mail, messenger records, photos, and logs support chronological order. Please mark the body as “Appendix 1” and submit the file together.
This is general information for guidance purposes only. If this is a matter that involves disciplinary action or liability, please check with a labor attorney or attorney before submitting.
This is a story left by people who actually wrote and submitted a statement of facts and statements. It contains notes on areas where you got stuck while writing or the results after submission, so it is often more helpful than a guide for first-time users.
I needed a document detailing the details of the accident, and it was easy to write because it was divided into sections according to the six-bottom rule.
Comments 0The guidance about not writing emotionally was most helpful. I deleted the first draft and rewrote it.
Comments 0I am sending you this form in response to an employee accident.
Comments 0The content is good. But I didn't know there was a section for measures to prevent recurrence, so I wrote it all down in the main text.
Comments 0The explanation of the difference between the affidavit and the affidavit is accurate. Our company received a police report.
Comments 0I submitted it to the company after a car accident. Well organized
Comments 0It comes out perfectly on one sheet. I was worried it would overflow.
Comments 0It was a document I didn't want to write, but I was glad that the format was convenient.
Comments 0We submitted this to our business partner regarding delayed delivery. When I sent it in the correct format, the reaction was different.
Comments 0I followed the advice to write only facts, but it ended up being rather short.
Comments 0I needed it urgently, so I wrote it right away.
Comments 0We can advise you on organizing reporting procedures and record forms.
Please let me know if there are any mistakes made while writing the statement or statement, or if there is anything you wish had a space like this. It will be much faster to check if you upload a screen capture as well.