New Incident Report

Home Files Assets Clients Marketing HR Service Portal Admin Profile Messages Logout

New Incident Report

Date of Incident

Time of Incident

Reported by

Location / Site

Exact Location

Persons involved
Employee Contractor Registered Gym Member Visitor / General Public

Full Name	Contact Number	Person Type	Involvement	Delete

Nature of Incident

Nature sub-type

Description of Incident / Events leading up to

Activities / events engaged in prior to incident
Injury details (e.g. sprain, fracture)
First aid treatment given

Referral for further treatment (e.g. doctor, hospital)

Injury management required

Emergency services involved
Police Ambulance Fire SES / Rescue Security

Reported to
SafeWork or Workcover