Reporting of incidents, injuries, hazards and near misses is a legal requirement of employees under the Occupational Safety and Health Act 1984. This document specifies the responsible parties, their obligations and the various reporting methods.
Contacts: Safety and Health 6488 3938; Technical Officer (Electrical) 6488 2031; FM Jobs 6488 2025; ECM Safety Support Team
Please use this checklist to verify completion of the reporting and investigative process:
Part 1: Must be completed within 24 hours but if serious, the incident must be reported immediately to Safety and Health. (Call 2222 for an emergency)
Section A:
Injured Person’s Details – all details must be completed.
Incident Details – all questions must be answered.
Section B:
Signed by Safety and Health Representative
Signed by Supervisor/Manager
Section C:
To be completed if injury sustained.
Part 2: To be completed and forwarded to Safety and Health within 5 working days. For information on investigations, see or contact Safety and Health.
If completing the form on behalf of another person you are identified as the Agent.
Section 1:
Person involved in incident
Answered relevant questions relating to Slip/Trip/Fall, Manual Tasks, etc
Investigation questions answered
Section 2:
Risk Control Table (preventative actions) and Timeline completed
Feedback provided to person reporting incident/injury
Signed by Supervisor/Manager
Signed by Head of School/School Manager – Dean informed
Signed by Safety and Health Representative
Resources
Safety and Health Representative:
You must contact your Safety and Health Representative, if there is one in your area, immediately following the incident. To find your Safety and Health Representative see
Needlesticks/Sharps Injuries or Exposure to Body Fluid Incident:
The Incident/Injury Report Form is to be used with the exception of Needlesticks/Sharps Injuries or Exposure to Body Fluid Incidents for which there is a specific alternative form.
Near Miss Reporting:
For any no-loss incidents/near misses a 2-minute Near Miss Report Form needs to be filled out.
Facilities Management Jobs:
For minor maintenance jobs contact Facilities Management Jobs.
Completing the Confidential Incident / InjuryReport Form
/ Published: / June 2012 / Version 1.3Authorised by: Safety and Health / Review: / June 2017 / Page 1 of 2
Uncontrolled when printed. The current version is available on the Safety and Health website