Our health and safety management Incident and Near Miss Report Form guides you to record incident details, including:

• Incident number
• Date, location, time, name of person reporting incident, supervisor, nature of report
• What happened, where it happened, why it happened
• Witnesses

 

To download the full health and safety management Incident and Near Miss Report Form now, together with our full range of other OHS documents, sign up for our $1/week CCS OHS Compliance Membership. All documents are in Word and can easily be amended and implemented.

 

 

Go back to the Return To Work Plan

Go forward to the Incident Investigation Report