Get Incident Notification Form - Workplace Health And Safety Queensland

Filing an incident notification form is an essential process to ensure workplace safety and compliance. This guide will provide you with a clear, step-by-step approach to completing the Incident Notification Form for Workplace Health and Safety Queensland online.

Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to obtain the form and access it in your preferred editor.
2. Begin by filling out the incident details. Specify the type of incident, such as death, serious injury, or dangerous incident. Provide explanations based on the guidelines available on the relevant notification web page.
3. Enter the date, time, and location of the incident. Include the incident address and a description of the specific location, ensuring clarity for reference.
4. Describe the incident in detail. Include the events leading up to it, the work being undertaken, and the machinery or substances involved. If applicable, detail any other individuals involved.
5. Indicate whether the incident involved licensed work. If it did, provide the necessary details regarding the nature of the licensed work.
6. If there was a person injured or who became ill, fill out their personal details, including their name, date of birth, contact information, and occupation. Be precise about the nature of their injury or illness and any treatment received.
7. State the details of the business notifying the incident, including the legal and trading name, business address, and relevant contact information.
8. Document any immediate actions taken to prevent the recurrence of the incident as well as any long-term measures proposed.
9. Fill out the notifier’s details accurately, including the contact person's name and position. Confirm if this person should be contacted for further information.
10. Once all sections are filled, you can save changes, download, print, or share the form as needed.

Complete your incident notification form online today to ensure workplace safety compliance.