Incident Report Form

An Incident Report Form is used to document the details of an incident.

This Incident Report Form provides a structured format to capture details of a workplace incident and confirm actions that will be taken.

Suitable for businesses wanting to ensure incident reporting is completed and actions identified.

$19.00 ex GST Checkout

Product code
DOC-10077
Document type
Form
Format
Word
Published
Jul 2020
Pages
2

Key features

Based on

  • Australian Harmonised Legislation (ACT, NSW, NT, QLD, SA, TAS)
  • ISO 45001:2018 Occupational Health and Safety Management Systems
  • Can be adapted to suit other state/territory or country jurisdictions.

Content written by Work Health and Safety Professionals

  • Tried and tested in practice

Microsoft Word document

  • Professionally formatted
  • Fully editable
  • 2 pages
  • Header (document name and page numbers)
  • Footer with document control (document number and version number)
  • Document history and tracking
  • Place holders for your Company logo in headers

Document properties:

  • Document title
  • Company name populates document text [Company] when you add your Company name

Contents

This Incident Report Form has 2 pages with the following contents:

  • Details of reporting person
  • Details of Incident
  • Details of injury/illness
  • Investigation details
  • Witness Sign off
  • Actions assigned
  • Sign-off
  • Document history and tracking

Support

Toolkit Solutions

  • Free to access Info Centre with Info Sheets, ISO 45001 Self-Assessment Checklist and General Mindset Re-Set Audio
  • WHS Foundations Master Class for Business Owners, Executives and Managers
  • Elevate OHS Coaching Program for WHS Coordinators, Officers and Advisors
  • WHS System Smarts 1-hour briefing sessions on Microsoft 365 applications and QR Codes
  • WHS Consultation 1-hour sessions with approved Kitney OHS Consultant

Kitney OHS

  • Specialist and general consultancy services, strategic solutions, larger scale projects and retainers.
  • Visit the Kitney OHS website or Contact Kitney directly for further information

Contact us if you’re unsure on the support you need, we’ll be pleased to explore this with you and see where we can assist.