Free Cleaning Services Injury Log Template

Cleaning Services Injury Log

This log represents the record of injuries that happen during our cleaning services. Its purpose is to ensure effective management of workplace safety.

Prepared by:

[YOUR NAME]

Date:

Log Overview

Summary of tasks completed on [DATE]

Date of Injury

Employee Name

Type of Injury

Details

2050-03-15

[Name]

Slip and Fall

Slipped on wet floor while mopping

2050-03-18

[Name]

Chemical Burn

Contact with harsh cleaning chemical

2050-03-20

[Name]

Laceration

Cut finger on broken glass

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Notes:

  • Ensure personal protective equipment is worn at all times during cleaning tasks.

  • Follow safe manual handling practices to prevent injuries.

Additional Notes:

 

Reviewed By:

[Name]

[Title]

Date Reviewed:                               

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