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Get Accident/incident Report Form - Act Government Chief Minister And ... - Cmd Act Gov 2009-2025
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How to fill out the Accident/Incident Report Form - ACT Government Chief Minister And ... - Cmd Act Gov online
The Accident/Incident Report Form is a vital document for reporting workplace incidents that result in injury or pose risks to health and safety. This guide provides clear and detailed instructions for users to effectively complete the form online, ensuring compliance with reporting requirements.
Follow the steps to accurately complete the Accident/Incident Report Form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling out Parts A, B, C, and D for the person injured or exposed to an accident/incident, or their representative. Ensure to provide complete details including personal information and the nature of the incident.
- In Part A, enter the individual's personal details such as their surname, given name, date of birth, gender, and the status of the person involved (e.g., ACT Govt Employee).
- In Part B, provide details of the accident or incident. Document the date and time of the incident, the exact location, and how the accident occurred. Include all relevant witnesses and their contact information.
- In Part C, disclose any injury or illness sustained as a result of the incident. Specify which body parts were affected, describe the injury, and note the treatment received, if any.
- In Part D, complete information about the person filling out the form. This section requires the name, contact number, position level, and signature of the person completing the form.
- For Part E, if applicable, the supervisor or manager must complete their section. They need to provide additional details about the incident, determine if it is serious and needs to be reported to WorkSafe ACT, and note any corrective actions taken.
- Once all sections are completed, review the form thoroughly for accuracy before saving changes.
- Finally, you can save changes, download, print, or share the form as required, ensuring a copy is forwarded to the appropriate agency's IP&M Team.
Complete your Accident/Incident Report Form online to ensure proper documentation and compliance.
An example of an accident incident could be a workplace fall resulting in injury. In this case, details about the location, time, and conditions leading to the fall would be recorded in the Accident/Incident Report Form - ACT Government Chief Minister And ... - Cmd Act Gov. This provides a clear reference for investigations or insurance claims.
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