 
                Get Incident Notification Form
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How to fill out the Incident Notification Form online
This guide provides step-by-step instructions on completing the Incident Notification Form online. By following these clear directions, users can ensure accurate and effective reporting of incidents that occur within the school environment.
Follow the steps to successfully fill out the Incident Notification Form online.
- Click the ‘Get Form’ button to access the Incident Notification Form. This will allow you to open the form in an online editor for completion.
- Begin with the School Name/Location and School Number fields. Enter the relevant information accurately to ensure proper identification of the incident.
- In the 'Brief account of injury' section, provide a detailed description of the incident, including circumstances and any relevant details.
- Fill in the Accident Date and Accident Time to pinpoint when the incident occurred.
- Indicate the type of activity involved in the incident by selecting from the predefined options, such as Chemical Use, Sports, or Manual Handling.
- Describe the accident type from the provided list, such as Slip, Fall, or Collision, ensuring to specify any other type if necessary.
- In the Accident Site section, select the location where the incident took place, indicating which campus if applicable.
- Complete the Staff on Duty section by providing the names and the number of staff present during the incident.
- Provide details of the injured person, selecting their type (Student, Staff, Family) and filling in their personal information as required.
- If initial assistance was provided, include those details in the next section, filling out the type of assistance given.
- Assess and document the severity of the injury by selecting the appropriate option, such as First Aid or Hospital Treatment.
- If applicable, specify the treatment the doctor provided for the injury.
- Identify the nature of the injury from the available options, ensuring a comprehensive description.
- State the location of the injury on the body by selecting one or multiple relevant areas.
- If there were witnesses to the incident, include their details in the Witness Details section.
- In the Preventive Action section, describe any measures taken or proposed to prevent future incidents.
- Finally, review all the entries for accuracy, then save changes, download, print, or share the completed form as needed.
Complete your Incident Notification Form online to ensure accurate reporting and effective incident management.
Tips for reporting incidents Date and time of the event. Location. Type of incident. Names of the employees involved in the event. Details about the incident. Medical attention any involved employees received. Available photographs or recordings of the situation.
Fill Incident Notification Form
This is a form to notify WorkSafe of incidents. Incident notification form. Type of incident (mandatory). This is to notify of a: death serious injury serious illness dangerous incident serious electrical incident dangerous electrical event. Use this form to notify NT WorkSafe that serious injury, a dangerous incident or death has occurred at the workplace. Using our incident report form builder and template library, you can either pick an existing incident report form template and customise its fields. The Notification Form D-CM-01.01 shall be used to notify the FAMI-QS Secretariat and the Certification Body. Incident notification form. Form. Form to notify WorkSafe about an incident in the workplace. Document.
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