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JKKP 6 Accident Report Form — How to Fill Guide Malaysia
Updated: May 2026 · 9 min read · By SafeSyt Editorial
The JKKP 6 form (Borang JKKP 6) is the official accident notification form required by the Department of Occupational Safety and Health (DOSH) Malaysia. Under the Occupational Safety and Health (Notification of Accident, Dangerous Occurrence, Occupational Poisoning and Occupational Disease) Regulations 2004, employers must submit this form for all notifiable workplace incidents.
This guide walks you through when to submit, how to fill each section correctly, common mistakes to avoid, and the penalties for late or non-reporting.
When Must You Submit JKKP 6?
JKKP 6 must be submitted for the following incidents:
- Fatal accidents: Any workplace death — immediate notification required, followed by JKKP 6 within 7 days
- Non-fatal accidents: Any accident causing more than 4 consecutive days of medical leave (not counting the day of accident)
- Dangerous occurrences: Events listed in the Third Schedule (e.g., crane collapse, scaffold collapse, explosion, electrical short circuit causing fire)
- Occupational poisoning: Any case of poisoning arising from workplace exposure
- Occupational disease: Any disease listed in the Fifth Schedule of OSHA 1994
Submission Timeline
| Incident Type | Immediate Notification | JKKP 6 Deadline | Submit To |
|---|
| Fatal accident | Immediately by fastest means (phone/fax) | Within 7 days | Nearest DOSH office |
| Non-fatal (>4 days MC) | Not required | Within 7 days of accident | Nearest DOSH office |
| Dangerous occurrence | Immediately by fastest means | Within 7 days | Nearest DOSH office |
| Occupational poisoning | Immediately by fastest means | Within 7 days | Nearest DOSH office |
| Occupational disease | Not required | Within 7 days of diagnosis | Nearest DOSH office |
Step-by-Step Guide to Filling JKKP 6
Section A: Particulars of Employer/Occupier
- A1: Full registered company name (as per SSM registration)
- A2: Company registration number (ROC/ROB number)
- A3: Full address of the workplace where accident occurred
- A4: Nature of industry (use DOSH industry classification code)
- A5: Total number of employees at the workplace
- A6: Name and designation of person submitting the form
- A7: Contact telephone number and email
Section B: Particulars of Injured Person
- B1: Full name of injured person (as per IC/passport)
- B2: IC number or passport number
- B3: Date of birth and age
- B4: Gender
- B5: Nationality
- B6: Occupation/job title
- B7: Employment status (permanent/contract/part-time)
- B8: Length of service with current employer
- B9: Experience in current job role
Section C: Particulars of Accident
- C1: Date of accident (DD/MM/YYYY)
- C2: Time of accident (24-hour format)
- C3: Exact location within workplace where accident occurred
- C4: Activity being performed at time of accident
- C5: Detailed description of how the accident happened (be factual, chronological)
- C6: Agent/machinery involved (specify make, model, serial number if applicable)
- C7: Type of accident (fall, struck by, caught in, etc. — use DOSH classification)
Section D: Particulars of Injury
- D1: Nature of injury (fracture, laceration, burn, amputation, etc.)
- D2: Body part affected
- D3: Severity (fatal/hospitalised/outpatient)
- D4: Number of days MC issued
- D5: Name and address of treating hospital/clinic
- D6: Name of attending doctor
Section E: Immediate Actions Taken
- E1: First aid administered (describe)
- E2: Corrective actions taken to prevent recurrence
- E3: Whether work has been stopped at the accident location
- E4: Whether scene has been preserved for investigation
Common Mistakes When Filling JKKP 6
| Mistake | Why It's a Problem | How to Avoid |
|---|
| Vague accident description | DOSH may request resubmission, delaying case closure | Use chronological, factual description with specific details |
| Wrong industry code | Misclassification affects national statistics | Refer to DOSH industry classification list |
| Missing IC number | Form considered incomplete | Verify IC from employee records before submission |
| Late submission | Penalty under Section 32, OSHA 1994 | Submit within 7 days — set internal 3-day deadline |
| Not preserving accident scene | Hampers DOSH investigation | Cordon off area immediately, photograph before cleanup |
| Submitting to wrong DOSH office | Delays processing | Submit to DOSH office nearest to accident location |
| Unsigned form | Form is invalid without authorised signature | Ensure employer/occupier signs before submission |
Penalties for Late or Non-Reporting
| Offence | Section | Penalty |
|---|
| Failure to notify accident | OSHA 1994, Section 32 | Fine up to RM10,000 or imprisonment up to 1 year, or both |
| Failure to notify dangerous occurrence | OSHA 1994, Section 32 | Fine up to RM10,000 or imprisonment up to 1 year, or both |
| Providing false information | OSHA 1994, Section 50 | Fine up to RM20,000 or imprisonment up to 2 years, or both |
| Obstructing DOSH investigation | OSHA 1994, Section 49 | Fine up to RM10,000 or imprisonment up to 1 year, or both |
Tips for Efficient JKKP 6 Submission
- Keep a pre-filled template with company details (Section A) ready at all times
- Train supervisors to collect accident details immediately using a standardised incident form
- Photograph the accident scene from multiple angles before any cleanup
- Collect witness statements within 24 hours while memory is fresh
- Set an internal deadline of 3 days (not 7) to allow time for review and corrections
- Keep copies of all submitted forms and delivery receipts
- Use DOSH online submission portal (eNotifikasi) where available for faster processing
- Maintain a log of all JKKP 6 submissions with reference numbers
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