Housing industry site safety pack - form 10 - WorkCover NSW 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the details of the injury, including the date and time of the incident. Specify whether it was a near miss or required first aid or medical treatment.
3. Fill in the personal information of the injured person, such as their name, address, occupation, date of birth, and telephone number.
4. Describe the activity the person was engaged in at the time of injury and provide the exact site location where it occurred.
5. Indicate the nature and body location of the injury. Use the provided diagram to mark where on the body the injury occurred.
6. Document any treatment given on-site and whether a referral for further treatment is necessary. Include details about any doctors or hospitals involved.
7. List witnesses to the incident along with their contact information. Ensure each witness can provide an account if needed.
8. Complete sections regarding property damage, including details of damage and immediate response actions taken.
9. Finally, ensure all required fields are filled out accurately before saving your completed form for submission.

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