Company Details Incident Details Was time lost through the injury? YESNO Was the incident reportable under RIDDOR? YESNO Type of injury? Please click here to selectTrapStrain/sprainCutAbrasionBurn (heat)Chemical burnPunctureBruiseFractureOther Area(s) affected Was the injured party wearing gloves?* YESNOUnknown If yes, were the gloves in good condition?*(other than damage caused as a result of the incident) YESNOUnknown Were the gloves the correct size for the injured party?* YESNOUnknown Incident summary If hand protection was worn, what was the product reference and/or specification of the glove used? * Alternatively, submit a photograph here:
