The number of work-related deaths in the United States has been on a steady decrease for the past two decades. Compared to 1995, there are 1000 fewer occupational fatalities per year, Statista reports. There has been a similar trend related to workplace injuries. In 2016, almost three in 100 U.S. workers were involved in non-fatal accidents. 

Carefully crafted workplace safety protocols are among the factors that contributed to a safer and healthier work environment in the U.S. The employers surveyed last year confirmed the company wellness programs have positively impacted the workers’ health, productivity, and performance. 

While it is possible to reduce the likelihood of an accident, it is improbable to avoid it entirely. In these cases, a timely reaction can be a life-saver. This is why filling out an emergency contact form should be a mandatory practice for all the people you hire.

However, the emergency contact form is a particularly sensitive document, as it deals with a person's highly confidential information. Employers who don't have a legal advising team at their disposal often have trouble figuring out which details should be included in the emergency form. 

Here is an example of a general emergency contact form created in LeadQuizzes content builder - and now we'll show you how to make this document.

Maybe you are wondering whether you should have the emergency contacts of your employees in case you work in the field where the risk of occupational injury is minimal. Do not think in that direction. While construction workers are more likely to sustain injuries during their working hours, it doesn't render a regular office risk-free. Maybe there is less possibility of harm, but medical emergencies pick no time and place. Reacting to them in a timely and informed manner can be a tiny difference between life and death - and having an emergency contact form could make that difference.

Keep things simple and guide your employee through the emergency contact questionnaire by explaining why you need each piece of information. The starting page is a perfect opportunity to open the "conversation."

Move on to general personal information that can be adjusted according to the workplace's specific nature and requirements. Here we went with essential details - name, ID number, and citizenship.

Keep in mind that complying with these safety measures is optional for employees. You can ask them to fill out an emergency contact form after you hire them or in periodic surveys. They have the right to refuse to share this information. 

One of the ways to avoid this is to ensure the employees that their confidential information won't be shared with third parties. You can go into greater detail and explain who has access to their emergency contact form. For example, we put this explanation after the personal information page, and before we move on to any more personal questions.

In this content builder, you also have an option to provide a link to your Privacy Policy.

The following question should refer to the employee's blood type - a standard piece of medical information you can find on name tags and personal documents. When you add pictures to your emergency contact form, keep them neutral and functional. In this case, images are here to minimize the possibility of a wrong selection. 

This is how a blood type page looks in a content builder. All you have to do is add questions and images in the existing template with drag&drop menu.

The next question refers to the employee's (current or chronic) medical conditions and accompanying therapy. This is mandatory information pointed out to the physicians before any intervention - routine or emergency. 

Finally, ask for the person's emergency contact. Again, the amount and type of information you're going to ask for depends on the nature of the industry and its requirements. This is a general example.

You don't have to include the question about the worker's relation to the emergency contact, but it is recommended. In case of an emergency call, it is valuable to know this information in order to communicate in the right way. 

For example, parents are more likely to react highly emotionally to the unexpected bad news about their child. If you know who's the emergency contact, you can adopt a more sensitive or straightforward approach.  

You can easily create dozens of forms to keep your work environment safe, organized and efficient. Try our amazing LeadQuizzes content builder and start designing original forms, surveys, and quizzes. All you need is a little bit of creativity and the right instructions - the intuitive drag&drop menu will do the rest of work for you!

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