Who has been injured?
If a client has been injured complete a Clinical Incident Form. If you or another employee have been injured continue with the WHS Incident Report.
Person Reporting the Incident
Date & Time of Incident
Full Description of the incident location and incident events
i.e. describe the layout of the working space identifying proximity to fixtures, equipment or other persons present. Any additional documents or photographs can be attached
Provide a detailed description of the incident
Please identify any injuries sustained
Treatment Provided following Incident
Witness to Incident
Please attach items such as sketches, medical certificates or other documentation.
Max. file size: 32 MB.