Incident notification form 2026

1. Click ‘Get Form’ to open the incident notification form in the editor.
2. Begin by entering your Reference Number, which you can obtain by calling 132 360. This number serves as proof of immediate notification.
3. Fill in your personal details in BLOCK letters, including your Position Title, Name, Date, and Telephone Number.
4. Provide the Date and Time of the Incident along with the Name and Business Address of the Employer or Self-Employed Person involved.
5. Describe the Incident briefly and include details about any Deceased or Injured Persons, specifying their names, gender, address, date of birth, and occupation.
6. Document any actions taken to prevent recurrence of the incident in the designated section.
7. Review all entered information for accuracy before signing and dating your declaration at the bottom of the form.

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