Reports stay private
View my report
Management
NEW INCIDENT
Make a
report.
Complete the sections below. Required fields are marked *.
01
The essentials
Brief title
*
Incident type *
Injury / illness
Near miss
Property / equipment damage
Vehicle incident
Environmental incident
Hazard / unsafe condition
Other
Incident date
*
Time (Queensland)
*
Site / address
*
Exact location
*
Job number
Client
Initial severity
Low
Moderate
High
Critical
Reported by
*
Phone / email
*
Supervisor
Supervisor notified
Not yet
Yes
No
When / how notified
Next: people
02
People involved
People involved
Witnesses & contact details
Next: what happened
03
What happened
What happened
*
Task being performed
Site / weather conditions
PPE / equipment in use
SWMS / risk assessment in place
Unknown
Yes
No
Not applicable
Next: response & impact
04
Response & impact
Immediate action taken
*
Area made safe
No
Yes
Not applicable
Emergency services called
No
Yes
Treatment level
None
First aid
Medical treatment
Hospital
Unknown
Body part affected
Injury / illness details
Treatment / first aid provided
Property / equipment damage
Environmental impact
Remaining risks
Next: attachments
05
Photos & documents
Add photos or documents
Up to 5 JPG, PNG, WebP or PDF files. 8 MB each, 25 MB total.
Next: report summary
Review your summary before submitting.
View report summary