Get Clarence Valley Council Public Liability Incident Report Form

This guide provides users with a clear pathway to complete the Clarence Valley Council Public Liability Incident Report Form online. By following these instructions, you can ensure that all necessary information is accurately reported regarding any incidents involving council property, activities, or infrastructure.

Follow the steps to successfully complete the online incident report form.

1. Press the ‘Get Form’ button to access the Clarence Valley Council Public Liability Incident Report Form and open it in your preferred document editor.
2. Begin by entering the details of the person involved in the incident. This includes their name, address, suburb or town, and phone numbers for home, mobile, and work.
3. If the individual reporting the incident is different from the person involved, fill in their details in the designated section, including name, address, suburb or town, and phone numbers.
4. Document the specifics of the incident. Record the date and time when the incident occurred, as well as the date the incident was first reported to the Council and the method of reporting (e.g., phone, email, in person).
5. Clearly specify the location of the incident. Provide the street name, suburb, and a detailed description of the exact location, including house numbers and landmarks.
6. Describe the weather conditions at the time of the incident (e.g., day/night, wet/dry, raining/sunny) to assist in the context of the situation.
7. In your own words, provide a comprehensive description of how the incident occurred. Be as detailed as possible to facilitate a thorough investigation.
8. Indicate any injuries that were sustained during the incident by selecting the appropriate level of severity and providing descriptions where necessary. If available, attach photographs.
9. If there was any damage to property or vehicles, provide a description of each, along with photographs if possible, including the vehicle's make, model, and registration number.
10. List the names and positions of any Council employees involved in or who witnessed the incident, along with details of any public witnesses, including their contact information.
11. If applicable, enter police details such as the station, officer's name, and event number.
12. Finally, make sure all information is correct, sign the form, and enter the date. Once completed, you can save your changes, download, print, or share the form as needed.

Complete your Public Liability Incident Report Form online today to ensure your incident is recorded and addressed.