Incident notification form

Form to notify WorkSafe about an incident in the workplace.

Shape
 
Published: 16 Mar 2022
 
File type: PDF
 
File size: 527.33 kB
 
Length: 3 pages
 
Reading level: Easy

What it contains

This is a form to notify WorkSafe of incidents. It includes a telephone number to call for a reference number to prove they have notified WorkSafe immediately after the incident.