RIDDOR Form

Health and Safety at Work etc Act 1974
The reporting of injuries, diseases and dangerous occurrences regulations 2013 (RIDDOR 2013)

Report of a railway specific accident


Part A

 
 
   
 
 
 

Part B

   
   
 
 

Part C

If there was an injury to an individual please complete all questions in Part C1. If there are more injured parties please complete the additional sections at the end of the form.If there were no injuries please proceed to Part D.

Part C1

 

Part D

 
If Yes, please specify the details in Part G
If Yes, please specify the details in Part G

Part E

























































Part F


Part G

 

Part C2

 

Part C3