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Whs incident report form

Whs form 10 2025

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The document is a WHS FORM 10: INCIDENT AND INJURY REPORT, which outlines the necessary details to report workplace incidents and injuries. It includes sections for recording information about the injured person, nature of the incident, treatment provided, witness accounts, and any damage to property or equipment. The form also addresses reporting procedures to relevant authorities and insurance providers.

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Click ‘Get Form’ to open WHS Form 10 in the editor.
Begin by entering the details of the injury, including the name of the injured person, their address, occupation, and date of birth. This information is crucial for accurate reporting.
Fill in the date and time of the incident, specifying whether it was a near miss. Include details about the nature of the incident and any first aid administered.
Indicate the exact site location where the injury occurred and describe the nature and body location of the injury using provided diagrams if necessary.
Complete sections regarding treatment given on-site, referral for further treatment, and whether a SafeWork NSW medical certificate has been received.
Document witness information by entering their names and contact details. Ensure each witness can provide an account of what happened.
Finally, complete details about any property damage or environmental impact related to the incident, including immediate response actions taken.

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What are the 4 types of incident reports?

The 4 main incident reports that should be on your list are: Near Miss Reports. Near misses are events where no one was injured, but given a slight change in timing or action, someone could have been. ... Injury and Lost Time Incident Report. ... Exposure Incident Report. ... Sentinel Event Report.

How do you write an incident?

Facts related to the incident include: The Basics. Identify the specific location, time and date of the incident. ... The Affected. Collect details of those involved and/or affected by the incident. ... The Witnesses. ... The Context. ... The Actions. ... The Environment. ... The Injuries. ... The Treatment.

What is an incident report?

Incident reporting is the process of recording worksite events, including near misses, injuries, and accidents. It entails documenting all the facts related to incidents in the workplace. Incidents are generally accidents or events that cause injuries to workers or damages to property or equipment.

whs incident report

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What is a first aid incident report?

First Aid Incident Reporting It is good practice to provide your first-aiders and appointed persons with a book in which to record incidents they attend. The information can help you identify accident trends and possible areas for improvement in the control of health and safety risks.

What is a guest incident?

Updated July 27, 2022. A hotel guest incident report is a report filed to document an incident, whether an injury or accident, that occurs at a hotel. The report asks for such details as who was involved, what happened, and what action was taken by hotel staff or management.

How do you write an incident statement at work?

When writing an incident report, keep these tips in mind: Write in a third party voice except when quoting people. Stick as closely as possible to stating the facts. Avoid writing emotional statements. Avoid finding someone to blame and stay focused on the objective of workplace safety.

What is the purpose of incident report?

The purpose of an incident report is to state the cause of the problem along with corrective actions that can be taken to minimise the risk of a future occurrence. The forms can also be used as safety documents, outlining potential safety hazards around the workplace.

What are the 6 elements of an incident report?

In this post, we'll answer those questions and more by outlining the six key elements that every good incident report should contain....Holistic also means that the incident report form covers the four main types of incidents. Near misses. ... No harm events. ... Adverse events. ... Sentinel events.