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Can I Claim

Accidents at Work

If you have been injured at work you may be able to claim compensation for that injury and any loss that you have suffered including any loss of earnings.
Your employer must by law have insurance to cover this and it is therefore the insurance company (not your employer) who will have to pay any compensation that you are awarded.

 

Get an instant free online assessment of your claim now!
Please try to answer all the questions but if at any stage you think this form doesn't apply to you click here
1. When did the accident happen?
     (DD/MM/YYYY)
2. Were there any witnesses?
Yes No.
3. Did you report the accident to any specific person?
Yes No.
4. Was the accident entered in any accident book?
Yes No.
5. Had you been properly trained to do whatever you were doing at the time of the accident?
(a) Yes
(b) No
(c) Not applicable
6. Had there previously been similar accidents involving other employees?
Yes No.
7. Had there previously been any complaint about the working practices
     that caused your accident?
Yes No.

7. When did you go to your GP/Hospital?

 
(a) Within 24 hours
(b) Within 1 week
(c) Not at all
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