How to write the witness testimony of industrial injury appraisal?

Basic information: What happened when and where.

Accident situation: Who was the witness, who participated in the rescue, who called 120, and who informed the person in charge of the unit.

Rescue situation: who sent the injured to what hospital by what means, who accompanied him, who initially diagnosed the injury and who paid the medical expenses.

Treatment: How long have you been treated at present, whether you have been discharged from the hospital, how much did Qian Qian spend when he was discharged from the hospital, and who paid for it.

Information is needed to apply for work-related injury identification.

1, personal application or event;

2. Fill in the application for work-related injury identification and provide a copy of the ID card of the work-related injury worker;

3. Fill in the Application Form for Work-related Injury Identification in duplicate;

4. The original medical record (or discharge summary) and the certificate of initial diagnosis or occupational disease diagnosis (occupational disease diagnosis and identification certificate) and the original and photocopy of the inspection report issued by the medical institution, and all certificates shall be stamped with the special seal for medical institution's disease certificate;

5.2 The written certification materials of more than one witness shall specify the basic information of the witness (including name, gender, age, home address, contact information, work unit and relationship with the injured) and the incident, and attach a copy of the witness's ID card, signature and fingerprint;

6. The text of the labor contract of the injured employee or other valid proof of establishing labor relations (agreement, payroll, attendance sheet, badge, business card, audio-visual materials, witness testimony, etc.). );

7 submit a copy of the business license of the unit or print the registration information of the employer in the window of the industrial and commercial administration center.

8. In case of other injuries, the originals and photocopies of official documents such as traffic accident confirmation, compensation mediation, residence certificate issued by traffic police department and death certificate issued by relevant functional departments shall be submitted.