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Incident notification form 2025

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The document is an Incident Notification Form from WorkSafe Victoria, outlining the requirements for reporting workplace incidents under the Occupational Health and Safety Act 2004 and Equipment (Public Safety) Regulations 2007. It details the necessary information to be submitted, including personal details of the person submitting the report, specifics about the incident, and actions taken to prevent recurrence. Immediate notification is mandated for serious incidents, with a written record required within 48 hours. The document also emphasizes site preservation until an inspector arrives.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (191 Votes)
2013	4.4 Satisfied (58 Votes)
2009	4.4 Satisfied (137 Votes)

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What are incident forms?

An incident report form is used to provide a comprehensive record of any unwelcome or undesirable occurrence that occurs within the workplace environment.

What are the 4 types of incident reports?

The Four Types of Incident Reports Incident reports can be categorized into four main types: injury, illness, near miss, and property damage. Each type serves a specific purpose and provides valuable insights into different aspects of workplace safety.

What are the 8 types of reportable incidents?

The 8 types of reportable incidents are: unreasonable use of force. unlawful sexual contact or inappropriate sexual conduct. psychological or emotional abuse. unexpected death. stealing or financial coercion by a staff member. neglect. inappropriate use of restrictive practices. unexplained absence.

What is an incident documentation form?

By general rule, an incident report form (also called, accident report form) is a document used to record details (to report injuries, damages, etc.) of the incident occurred. The form should include the date and time of the incident, as well as the names of all those involved.

How to make an incident report form?

How to Write an Incident Report: A Step-by-Step Guide (with Examples) Step 1: Provide Fundamental Information. Step 2: Take Note of Any Damages and Injuries. Step 3: Identify Affected Individual(s) Step 4: Identify Witnesses and Take Their Statements. Step 5: Take Action. Step 6: Close Your Report.

What are the 4 categories of incidents?

Incident reports can be categorized into four main types: injury, illness, near miss, and property damage. Each type serves a specific purpose and provides valuable insights into different aspects of workplace safety.

What are the 4 major stages to the incident investigation?

Incident (Accident) Investigations: A Guide for Employers simplifies how to approach incident or accident investigations providing helpful information on how to: Preserve and document the scene. Collect Data. Determine root causes. Implement corrective actions.

Incident notification form 2025

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