Report an Accident

When an accident/incident involving an elevating device occurs, the owner or persons in charge must notify AEDARSA. Click here for information on accidents/incidents and to the first steps to begin the reporting process.

Accident/Incident Report Form – Autofill Version

Accident/Incident Report Form – Printable Version

Important Notes for Reporting Accident/Incidents

Witness Statement

Guide For Owners and Persons in Charge

AEDARSA has been delegated by the Minister of Municipal Affairs to undertake accident/incident investigations for the province.

Step one:

For accidents/incidents resulting in fatalities, injuries that require medical treatment, or serious damage to equipment, the first step is to phone the AEDARSA office.

• For locations North of Red Deer, contact our Edmonton Office at 1-888-222-7281
• For locations in Red Deer and South, contact our Calgary Office at 1-888-333-6289

Step two:

Until an AEDARSA safety codes officer has completed an investigation of the accident/incident scene, nothing should be touched or removed from the site and surrounding area, unless it is necessary to prevent further injury, loss of life, or property damage. Our safety codes officer will investigate the accident/incident and file a report. The owner or person in charge will be requested to complete the above accident/incident report.

For accidents/incidents that require first aid only, it is not necessary to phone our office, but a written report is required.

Under the Safety Codes Act in Section 16 of the Administrative Items Regulation (Alberta Regulation 16/2004), an owner of an amusement ride or their agent must:

• Notify an administrator for the amusement rides discipline or a safety codes officer
• If requested by an administrator for the amusement rides discipline, submit, as soon as possible, a full written report of any accident/incident involving the amusement ride resulting in serious injury to a person or damage to the equipment

For your convenience, links to the Autofill and Printable forms for filing an accident/incident report can be found at the top of this page. To report an accident/incident, or for more information, please contact us.

Important Notes

Amusement rides are covered under the elevating devices discipline.

After Hours Emergency

Reports by phone may be made to either AEDARSA office. After-hours emergency service is available.

When a fatal or serious injury accident/incident occurs, the equipment and accident/incident scene should be secured from any access, except that which is necessary for the immediate medical needs of injured persons or to prevent possible injury to others. Otherwise, clearance must be obtained by the safety codes officer receiving the immediate report before releasing the equipment and accident/incident scene.

It is historically proven that minor injuries and even near misses can be a result of serious equipment problems. We therefore request that owners also report minor accidents/injuries (see interpretations below) for evaluation by AEDARSA.

When a company is hired to perform maintenance functions on behalf of the owner, as is common practice, the maintenance contractor becomes an agent of the owner with respect to the equipment they maintain. As such, they also bear responsibility to report accidents/incidents involving the equipment they maintain.

Following the report by telephone, a written report is to be forwarded by fax or mail as early as possible.

Interpretations

Accident/incident – In which as a result of a person’s use of an elevating device results in death or injury; or a malfunction or failure of equipment that results in serious equipment damage or that could have resulted in an injury or both.

Accident/Incident Categories

Fatal – Where an accident/incident results in the death of a human being.

Serious – Where an accident/incident results in bodily injury such that the injured person(s) require medical treatment or hospitalization. Where it is apparent that future complications to injured person(s) may arise, as a result of the accident/incident, the accident/incident should be considered serious.

Minor – Where an accident/incident results in injury that requires minor medical attention.

Serious Equipment Damage – When an elevating device is damaged to the extent that significant repairs are required to restore the equipment to design specifications and/or to fully comply with applicable safety standards.