Incident Report Form
 
A clear form for recording workplace incidents, injuries, illnesses and near misses, with a built-in check to help you work out whether the incident must be notified to your WHS regulator.
 
What's included
Details of the person or people involved and what happened
Injury or illness details and treatment given
An "Is it notifiable?" check covering death, serious injury or illness and dangerous incidents
Immediate action and follow-up for the supervisor or manager
A note on the Victorian notification timeframe under the OHS Act 2004
A one-page instruction sheet with step-by-step guidance and tips
 
When to use it
Straight after any injury, illness or near miss at work
When property or equipment is damaged
Before you start an incident investigation
 
Make it yours
Fully editable in Microsoft Word. Add your logo, change any item to suit your workplace, and print it or use it on screen. Review it with your workers before you start using it.