Incident Report Form

This Incident Reporting Form can be used to assist your workers report any work health or safety hazards or incidents. This form also assists businesses in keeping a record of such incidents and taking appropriate steps to address any existing or continued risk arising out of a reported hazard or incident.

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Last updated October 24, 2025

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Suitable for Australia

Incident Report Form

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What is a incident report form?

An incident report form is a document used to record details of any workplace hazard, incident, or injury, helping ensure timely reporting and appropriate follow-up.
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When should you use a incident report form?

You should use an incident report form whenever a workplace hazard, incident, or injury occurs, or when you need to document a potential safety risk or concern.
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What should be in a incident report form?

An incident report form should include details of the person reporting, a description of the incident or hazard, investigation results, actions taken, and any notifications made.
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Frequently asked questions

Who can complete this form?

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Does this form help with WHS compliance?

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Can this form be used in any Australian state or territory?

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What types of incidents can be reported?

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How does this form support workplace safety?

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Is the form suitable for small businesses?

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What happens after an incident is reported using this form?

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View Sample Incident Report Form

Incident Report Form

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