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Employee Emergency Contact Form

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The Employee Emergency Contact Form was developed so that an Employer will have a standardized form to distribute among Employees regarding the individuals that should be contacted in the event a traumatic event occurs. For instance, if an Employee suffers an injury at the work place and must be taken to an Emergency Room, he or she may require a spouse or a parent to be contacted. This form will allow Employees to neatly present this required information to their Employers.

Why use an Employee Emergency Contact Form?

For employers, it has become standard practice to request emergency contact information from all new hires – whether the job is risky or not. Though the worker may feel strange disclosing extra personal information, sharing a friend or relative’s phone number and other basic contact details is in the interest of both worker and firm.

Though workplace injuries are generally rare, they do occur. When an employee is hurt on the job, supervision may have an ethical obligation to inform next of kin or other close relatives or friends. In the worst cases, reaching out to an emergency contact may be a logistical necessity.

There are other cases where an emergency contact can come into play. Consider an employee who abruptly stops showing up to work. The specified contact may be able to vouch for this person’s whereabouts. Similarly, in the case of an employee who is significantly incapacitated by injury or illness, the emergency contact may serve as a go-between should other relatives or friends contact the employer seeking the ailing worker.

Selecting an Emergency Contact

Injury and illness are personal and serious matters, so emergency contacts will usually be those with some personal connection, either family or friends of the employee. Expediency matters too, though – so employees should think about accessibility when selecting emergency contacts. Will the appointed person be reachable? Is the contact competent to handle high-stress situations?

Liability Protection for Employer

Merely soliciting emergency contact information from an employee does not impact future liability, should an incident occur. The question of liability is a separate one that is determined by statute, employee and employer conduct, and, perhaps, other contractual agreements between the parties.

However, employers should not fear reaching out to emergency contacts. Merely informing a relative or friend of an incident does not amount to an admission of responsibility. Indeed, it is courtesy – and in certain cases, legal obligation – to notify an emergency contact about serious injuries that occur during the working day.



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