Rules for filling out a notification of an accident at work, form 1 – download the form and sample


Procedure for reporting an accident at work

The accident must be reported within 24 hours. When, what form of notification and which authorities to send depends on the type of accident (hereinafter referred to as NA).

There are few types of NS:

  • group;
  • lungs;
  • heavy;
  • with fatal outcome.

Let us consider in more detail the procedure for sending a notice.

Type of NSWhere to sendTermForm
Any of the above that happened to the insured personSocial Insurance Fund at the place of registration of the employer as an insurerWithin 24 hours from the day of the emergency Approved by Order of the Federal Social Insurance Fund of the Russian Federation dated August 24, 2000 N 157

.

Group NS (two people or more), severe NS or NS with fatal outcome (Article 228.1 of the Labor Code of the Russian Federation)GIT of the subject of the Russian Federation where the accident occurredWithin 24 hours from the date of the accident Form 1. Approved by Decree of the Ministry of Labor of Russia dated October 24, 2002 N 73
Prosecutor's office at the scene of the incident NS
Administration of a constituent entity of the Russian Federation and (or) local government at the place of state registration of the employer
Territorial body of Rostechnadzor or another that controls the facility or organization
FSS
Territorial association of trade unions
NS, which over time moved into the category of severe or fatal (Part 5 of Article 228.1 of the Labor Code of the Russian Federation)GIT of a constituent entity of the Russian FederationWithin 3 days after receiving this informationForm 1
Territorial association of trade unions
Territorial body of Rostechnadzor or another that controls the facility or organization
FSS

What is considered an accident?

Occupational accidents include incidents in which an employee received:

  • physical damage;
  • electric shock;
  • frostbite or burn;
  • injuries due to accidents, natural disasters and other factors.

The most serious consequence is the death of the employee, in particular as a result of suffocation or drowning. According to the requirements of Art. 228.1 of the Labor Code of the Russian Federation, the head of the enterprise is obliged to report the incident to the supervisory authorities.

https://youtu.be/1fQXUF0xPIE

Accident Notification Form 1

The occupational safety specialist must indicate as accurately as possible the time of the incident. From this moment the period for notifying the authorities will begin to count.

In order not to miss the daily deadline, you need to urgently send a corresponding request to the medical institution where the employee was admitted, with a request to send confirmation. The confirmation must indicate receipt of the request: doctors must submit the conclusion immediately.

It is better to go to all organizations that the employer’s representative must notify in person. We recommend preparing two copies of notices so that one with confirmation of receipt remains in hand. This is the only document that confirms that you reported the accident on time.

If deadlines are pressing, then documents can be transmitted by any available means of communication. The receiving party needs to clarify the position and full name of the person who received the document and record the fact of notification in the journal.

The employer must inform about accidents (group, severe, fatal):

  • state labor inspectorate;
  • the prosecutor's office at the scene of the incident;
  • administration at the place of registration (for example, council or prefecture);
  • territorial body that controls the organization (for example, Rostechnadzor);
  • Social Insurance Fund (at the place of registration of the employer as an insurer);
  • territorial association of trade union organizations.

The approved forms of documents required for the investigation and recording of accidents at work are placed in the Resolution of the Ministry of Labor of October 24, 2002 No. 73 “On approval of the forms of documents necessary for the investigation and recording of accidents at work, and provisions on the features of investigations at work in certain industries and organizations." A complete list of government agencies to which notifications must be sent using the appropriate forms is given in the table.

Type of accident Organization and legal act establishing the need for notification Referral deadline Form
Any accident (group, mild, severe, fatal) that occurred to the insured person Social Insurance Fund at the place of registration of the employer as an insurer (subparagraph 6, paragraph 2, article 17 of the Federal Law of July 24, 1998 No. 125-FZ; paragraph 7, part 1, article 228.1 of the Labor Code of the Russian Federation; paragraph 5 of the Regulations on investigation of accidents, approved by Resolution of the Ministry of Labor of Russia dated October 24, 2002 No. 73) Within 24 hours from the date of the accident The form was approved by order of the FSS of Russia dated August 24, 2000 No. 157
Group NS (two people or more), severe or fatal (parts 1, 2 of Article 228.1 of the Labor Code of the Russian Federation) 1) GIT of the subject of the Russian Federation on whose territory the accident occurred. The addresses of the GIT of the constituent entities of the Russian Federation are listed on the official website of Rostrud. (paragraph 2, part 1, article 228.1 of the Labor Code of the Russian Federation; clause 15 of the Administrative Regulations, approved by order of the Ministry of Health and Social Development of Russia dated September 21, 2011 No. 1065n)*.

2) The prosecutor's office at the scene of the incident. The address of the prosecutor's office can be clarified in the prosecutor's office of the constituent entity of the Russian Federation; contact information is posted on the official website of the Prosecutor General's Office of the Russian Federation. (paragraph 3, part 1, article 228.1 of the Labor Code of the Russian Federation).

3) Administration of a constituent entity of the Russian Federation and (or) administration of a local government body at the place of state registration of the employer as a legal entity or individual entrepreneur (for example, a council or prefecture) (paragraph 4, part 1, article 228.1 of the Labor Code of the Russian Federation).

4) The employer who referred the victim (paragraph 5, part 1, article 228.1 of the Labor Code of the Russian Federation).

5) The territorial body of the relevant federal executive body that controls the facility or organization where the accident occurred (for example, the territorial body of Rostechnadzor) (paragraph 6, part 1, article 228.1 of the Labor Code of the Russian Federation).

6) Territorial association of trade unions (Part 2 of Article 228.1 of the Labor Code of the Russian Federation)

7) The executive body of the insurer on issues of compulsory social insurance against accidents at work and occupational diseases (at the place of registration of the employer as an insurer) (paragraph 7, part 1, article 228.1 of the Labor Code of the Russian Federation).

Within 24 hours from the date of the accident Form 1 was approved by Decree of the Ministry of Labor of Russia dated October 24, 2002 No. 73

The form was approved by order of the FSS of Russia dated August 24, 2000 No. 157

NS, which over time has become a severe or fatal accident (Part 5 of Article 228.1 of the Labor Code) 1) GIT of the subject of the Russian Federation on whose territory the accident occurred. The addresses of the GIT of the constituent entities of the Russian Federation are listed on the official website of Rostrud. (part 5 of article 228.1 of the Labor Code of the Russian Federation, clause 15 of the Administrative Regulations, approved by order of the Ministry of Health and Social Development of Russia dated September 21, 2011 No. 1065n)*.

2) Territorial association of trade union organizations (Part 5 of Article 228.1 of the Labor Code of the Russian Federation).

3) The territorial body of the relevant federal executive body that controls the facility or organization where the accident occurred (for example, the territorial body of Rostechnadzor) (Part 5 of Article 228.1 of the Labor Code of the Russian Federation)

4) About insured events - to the executive body of the insurer (at the place of registration of the employer as an insured) (Part 5 of Article 228.1 of the Labor Code of the Russian Federation)

Within three days after receiving information about a change in the severity of the injury Form 1 was approved by Decree of the Ministry of Labor of Russia dated October 24, 2002 No. 73

The form was approved by order of the FSS of Russia dated August 24, 2000 No. 157

* The employer must notify the GIT of the subject of the Russian Federation on whose territory the accident occurred only in the event of a group, serious or fatal accident (Article 228.1 of the Labor Code of the Russian Federation). The employer has the right to contact the State Labor Inspectorate even when, as a result of an accident, the employee received minor injuries, if consultation is required (Article 356 of the Labor Code of the Russian Federation).

According to Article 228.1 of the Labor Code of the Russian Federation, in the event of accidents, the employer or his representative is obliged to inform authorized government bodies and organizations about what happened. From the article you will learn how to draw up a notice of an accident at work and where to send it.

The employer must inform about group accidents, serious accidents and fatal accidents:

  • state labor inspectorate;
  • the prosecutor's office at the scene of the accident;
  • administration at the place of registration (for example, council or prefecture);
  • territorial body that controls the organization (for example, Rostechnadzor);
  • Social Insurance Fund (at the place of registration of the employer as an insurer);
  • territorial association of trade union organizations.

The approved forms of documents required for the investigation and recording of industrial accidents are located in Resolution of the Ministry of Labor of the Russian Federation dated October 24, 2002 No. 73 “On approval of the forms of documents necessary for the investigation and recording of industrial accidents, and provisions on the features of accident investigation in production in certain industries and organizations."

A complete list of government agencies to which it is necessary to send a report of an accident at work, with the appropriate notification forms, is given in the table.

Shape and sample

The form in the approved form must contain the following information:

  1. Company name or full name of individual entrepreneur.
  2. Legal address of the unit where the emergency occurred. The location where the business is actually located.
  3. A brief description of the circumstances, including the date and time.
  4. Full name of the injured party.
  5. Description of the position and work performed of the person who was the victim of the incident.
  6. Indication of the total number of victims.
  7. Details of the authorized person responsible for filling out the papers.

An employee of the FSS of Russia signs the document.

Sample accident report forms are presented below.

Documents for download (free)

  • Accident notification
  • Group Accident Notice

Notification of an accident at work: sample filling

According to the law, in the event of an accident at work, the employer is obliged to conduct an investigation of the incident and draw up a special report about it.

Additional documents must be attached to the report, such as extracts from briefing logs, expert opinions of specialists, medical reports, protocols for interviewing witnesses, a protocol for examining the scene of the incident, etc. A complete list of these documents is contained in the Labor Code of the Russian Federation (Article 229.2).

As can be seen from the table above, the form of the notification depends on which department it is sent to. Form 1 of the notice is unified.

It should indicate:

  • organization name, address;
  • departmental and industry affiliation (OKVED main type of activity);
  • surname and initials of the head of the enterprise;
  • description of the incident (you must indicate the time of the incident down to the minute, place, circumstances under which the accident occurred);
  • number of victims, including deaths;
  • details of all victims: position, full name, number of years;
  • the nature and severity of health injuries received by each victim;
  • the surname and initials of the person who transmitted the notice, the date and time of transmission of the notice.

Column 7 is filled out by the government agency employee who accepted the notice. He must record the time of transmission of the document and enter his data.

Responsibilities of both parties

After an incident occurs at the enterprise, the employee and director must follow the procedure described in Table 1.

For the employer For the victim
  1. The first thing the employer needs to do is to minimize the risks of deterioration of the injured employee’s health, namely, provide him with first aid, call an ambulance, etc.
  2. After helping the injured person, the employer must take care of the partial or complete stop of the work process in order to avoid additional incidents and emergencies.
  3. Also, the employer must preserve all evidence at the scene of the accident; this is necessary to carry out an investigation and identify clear causes of the incident.
  4. If the accident results in serious injuries or even the death of one of the employees, the director of the enterprise must notify the victim’s next of kin about the incident as soon as possible, and also call the police.
  5. After the police arrive, the employer forms an investigation commission in accordance with Labor Code Art. 227. All results of the investigation, the report on the incident by the NSP in the H-1 form must be drawn up in two copies.
  6. Then the documents are sent to the supervisory authorities, and after their consideration, the employer issues a certain financial compensation to the injured employee.
  1. If you are injured, immediately notify your supervisor or ask witnesses to do this for you.
  2. Ask witnesses to clearly record all the details of what happened.
  3. If the employer cannot promptly call an ambulance, this should be done by the victim himself. In a medical facility, it is necessary to tell the doctor under what circumstances this or that injury was received.
  4. After treatment is completed, the victim must bring documents from the hospital to the accounting department: sick leave, a doctor’s report on the injury sustained as a result of accidental injury, and a certificate of the final diagnosis.
  5. Also, company employees should call the police and try to capture the scene of the tragedy in a photo or video. This is necessary in order to prevent possible falsifications on the part of the authorities.

What to do, watch the video:

https://youtu.be/OY9jDu8LA6o

Responsibility

It is important to meet the deadlines indicated in the table above. If the head of the company does not organize this work, the case will be considered hidden. Responsibility is provided for in Art. 5.27 and Article 15.34 of the Code of Administrative Offenses of the Russian Federation.

What is the responsibility for? Who is responsible Fine
Hiding the fact Citizen 300–500 rub.
Executive 500–1000 rub.
Organization 5000–10,000 rub.
Non-compliance with Labor Laws Executive 1000–5000 rub.
IP 1000–5000 rub.
Organization 30,000–50,000 rub.
Repeated non-compliance with Labor laws Executive 10,000–20,000 rub.
Executive Disqualification up to 3 years
IP 10,000–20,000 rub.
Organization 50,000–70,000 rub.

Reporting an accident at work

A message to the executive body of the insurer on issues of compulsory social insurance is drawn up in the form approved by Order of the Social Insurance Fund No. 157. It should indicate the type of labor relationship, as well as under what contract the victim is working: labor or civil law.

In the form for reporting an insured event, there is no column with information about the receiving person. You should ask the official of the FSS branch of Russia to enter your full name, position, date and time of receipt of the message in the blank space of the form.

Which form to use

The form is approved at the legislative level and is presented in Form 1. The paper is filled out for a single and group accident. The document states:

  • Business name;
  • location and legal address;
  • Employer's name;
  • circumstances of the incident: date and time, what work the employee performed;
  • number of casualties or deaths;
  • Full name and profession of all victims;
  • Full name and position of the enterprise employee who transmits the document, date and time of transmission;
  • Full name and position of the organization employee who received the document, date and time of receipt.
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