Incident-Report form docx - Incident Report Template REPORTED BY: WHS 2025

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Three Incident Report Samples Type of incident (injury, near miss, property damage, or theft) Location (Address) Date/time of incident. Name. Name of supervisor. Description of the incident, including specific job site location, the sequence of events, and the results of the event. Whether or not proper PPE was being used.
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.
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.
In a nutshell, WHS incidents encompass a wide range of events that have the potential to cause harm or damage. In the construction industry, where hazards are prevalent, understanding, reporting, and addressing these incidents is a shared responsibility that underpins a safer and more secure workplace.
It should include: the names and positions of the people involved. the names of any witnesses. the exact location and/or address of the incident. the exact time and date of the occurrence. a detailed and clear description of what exactly happened. a description of the injuries.
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How to write a workplace incident report Gather essential information. Describe the incident. Include injuries and damages. Interview witnesses. Identify contributing factors. Review company policies and procedures. Attach supporting documents. Maintain objectivity.
They are check, call, and care. Were going to follow those same steps in a cyber emergency.
Include fields and sections on each form to gather essential details such as: The date and time of the incident. Location of the incident. Names of all involved parties. Names of all witnesses (if applicable) Job titles and department of the complainant and their direct supervisor.

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