Get Incident Notification Form

This guide provides step-by-step instructions on how to accurately complete the Incident Notification Form online. By following these instructions, you can ensure that all necessary information is correctly reported, aiding in a swift and effective response to any incident.

Follow the steps to complete the Incident Notification Form.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. In the ‘Incident details’ section, select the type of incident from the provided categories such as death, serious injury, or dangerous electrical event. Include a brief explanation referencing the specific guidelines.
3. Fill in the date, time, and location of the incident accurately. Provide detailed descriptions, including exact addresses and any specific identifiers such as ‘aisle 3’ or ‘plant operation room’.
4. In the ‘Description of the incident’ field, elaborate on the events leading up to the incident. Specify any involved machinery, previous actions, and if electricity was a factor.
5. Indicate whether the incident involved licensed work by selecting 'Yes' or 'No' and providing details if applicable.
6. Complete the section for the injured person’s information, including their name, date of birth, contact number, and a brief description of the injury. Mention the treatment received and location of treatment.
7. Provide your business or undertaking details, including the legal name, address, contact information, and main business activity.
8. Describe any immediate actions taken post-incident and any proposed long-term prevention measures.
9. Fill in your details as the notifier, confirming your position, contact information, and if you are the main contact for follow-up.
10. Once you have completed the form, ensure that all fields are filled correctly. Save changes, then download, print, or share the form using the appropriate options outlined for lodgement.

Complete the Incident Notification Form online today to ensure proper documentation and response to any incidents.