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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Contact details' section. Enter your first name, surname, address, suburb, postcode, phone number, email, and company name if applicable.
Next, provide information about the person investigating the incident. Fill in their first name, surname, phone number, and email.
In the 'Incident details' section, specify the date and time of the incident along with its address and suburb. Tick all relevant premises or locations where the incident occurred.
Describe the incident briefly in the designated field and select any consequences that apply from the list provided.
If there were any injuries or affected individuals, complete their details including first name, age, address, and treatment received.
Fill out additional details for workplace injuries if applicable. Include occupation and electrical licence number of the injured person.
Finally, provide witness details and describe any actions taken regarding the incident before submitting your completed form.
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Report all electrical incidents This is a requirement of the Electricity (Licensing) Regulations 1991. An electric shock is an incident that may appear not to require medical or first aid treatment but if you do receive an electric shock we recommend that you have a medical assessment as a precaution.
How do I report a hazard in Australia?
Reporting workplace and work-related incidents and hazards. All work-related incidents and hazards must be reported by: calling the WHS Team on 1800 747 977 (option 3) emailing whs@pwss.gov.au.
What is the procedure for reporting a hazard?
If you spot something you think might be hazardous in your workplace, report it to your employer and safety rep straight away. Your employer should then decide what harm the hazard could cause and take action to eliminate, prevent or reduce that harm. Read more about risk assessments .
How do I notify electrical incidents in Qld?
Notify by phone 1300 362 128 or complete an online incident notification. All electric shocks are notifiable incidents.
What documents should you use to report a hazard?
Use a hazard/incident report form to help your workers report health and safety hazards and incidents. Keep a training register to record and sign off on all training completed by your workers.
There are four main types of electrical injuries: Electrocution (fatal) Electric shock. Burns/Arc blast. Falls from height.
Where should hazards be reported?
Workers should report health and safety issues to their: supervisor. manager, or. health and safety representative or health and safety committee.
How do I report a hazardous situation?
How to File a Safety and Health Complaint Online - Use the Online Complaint Form [Espaol] Fax/Mail/Email - Complete the OSHA Complaint Form [Espaol], or Send a Letter Describing Your Complaint. Telephone - Call Your Local OSHA Office or 800-321-6742 (OSHA) In Person - Visit Your Local OSHA Office.
esv electrical incident report
Australia and New Zealand Responsible Business Report
WHS procedures, training, links, hazard/incident reporting, and more. Safety performance. One key performance measure is our lost time injury and frequency
The Australian Incident Monitoring Study. Equipment failure
by RK Webb 1993 Cited by 46 Of the first 2000 incidents reported to the Australian Incident Monitoring Study, 177 (9%) were due to pure equipment failure according to pre-defined criteria.
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