Form - Confidential Incident Report
CONFIDENTIAL INCIDENT REPORT FORM
This report records the incident that resulted in an employee or other person being injured or suffering an illness within your workplace. The circumstances surrounding the incident need to be recorded, what happened, who witnessed what, their statements, the action taken to remedy the circumstance and if the hazard could not be eliminated, the new procedure to be adopted by management that will result in the containment of the hazard.
This form is a template to be followed, setting out the questions to be asked and how the incident is to be recorded.