Add New Incident Report

Incident Title

Enter a brief title for the incident

Date of Incident

Use the date selector tool or enter the date of the incident (defaults to date entered)

Time of Incident

Use the time selector tool or enter the time of the incident (defaults to time entered)

Description

Enter a brief description on the incident

Is this a work related incident?

Select 'Yes' or 'No'

Time Reported

Use the time selector tool or enter the time the incident was reported

Injury, Environment, Theft, Plant, Property, Process, Drug / Alcohol, Security, Near Miss, Other

Select all relevant incident categories

If any of the incident categories are selected, a sub-pages (one for each incident category) will also need to be populated on the next screen

Work Activity Performed

Select the type of work activity performed

For example: access and egress, earthworks

Sources of Hazard in Incident

Select the source of the hazard

For example: physical environment, plant and equipment

Primary Hazard

Select the primary hazard

For example: bites and stings, chemicals, dust, heat

Are there any secondary hazards?

Select 'Yes' or 'No'

Secondary Hazards

Appears only when 'Yes' is selected for above question.

Click 'Add' to select 1 or more secondary hazards

Actual Incident Category

Select the actual incident category

For example: 1 - Insignificant, 4 - Major

Potential Incident Category

Select the potential incident category

For example: 1 - Insignificant, 4 - Major

Is this a Contractor Incident?

Select 'Yes' or 'No'

Contractor Involved

Appears only when 'Yes' is selected for above question.

Click 'Add' to select 1 or more contractors

Is this a regulatory notifiable incident?

Select 'Yes' or 'No'

Regulatory Notifications

Appears only when 'Yes' is selected for above question.

Click 'Add' to select 1 or more regulatory notifications:

1. Select the organisation

2. Use the date selector tool or enter the date the organisation was notified

3. Use the time selector tool or enter the time the incident was reported

4. Enter the receipt number if applicable

5. Click 'Save and New' to enter an additional regulatory notification or click 'Save' to continue

Have any notices been issued?

Select 'Yes' or 'No'

Notices

Appears only when 'Yes' is selected for above question.

Click 'Add' to select 1 or more notices:

1. Select the organisation

2. Use the date selector tool or enter the date the organisation was notified

3. Use the time selector tool or enter the time the incident was reported

4. Enter the receipt number if applicable

5. Click 'Save and New' to enter an additional notice or click 'Save' to continue

Persons Involved

Add names of all people involved in the incident, including those not part of the organisation

Click 'Add' to add 1 or more names:

1. Select the person's name from the drop-down list or type their name if it doesn't appear in the list

2. Select the type of person (for example: Public)

3. Type any other relevant details

4. Click 'Save and New' to enter an additional person or click 'Save' to continue

Witnesses

Add names of all people who witnessed (were not directly involved in) the incident, including those not part of the organisation

Click 'Add' to add 1 or more names:

1. Select the person's name from the drop-down list or type their name if it doesn't appear in the list

2. Select the type of person (for example: Public)

3. Type any other relevant details

4. Click 'Save and New' to enter an additional witness or click 'Save' to continue

Injured Person's Details

Select or enter the injured person's name and employment status

Shift Information

Outlines the shift and working conditions of the injured person. Fields include the shift type, length, number of days since break etc.

Injury Information

Provides the detail on the injury, including severity and actions. Fields include the injury severity, immediate and first aid action provided, the injury nature etc. 

Body Part Injured

The interactive body map can be used to illustrate the injured area of the body.

Click on the injured body part - either in the diagram or the name. 

Injury Outcome

Summarises follow up treatment and condition. Fields include questions relating to the injured person's current work and medical status.

General

General information on the environmental incident and action taken

Land Contamination

When 'Yes' is selected, additional fields appear including contaminant type, name, volume released etc

Water Contamination/ Discharge

When 'Yes' is selected, additional fields appear including contaminant type, name, volume released etc

Flora

When 'Yes' is selected, the option to add details on each item of flora affected appear

Click 'Add' to add flora species and enter details such as botanical name, number affected etc

Fauna

When 'Yes' is selected, the option to add details on each item of fauna affected appear

Click 'Add' to add flora species and enter details such as botanical name, number affected etc

As above

Erosion and Sediment

When 'Yes' is selected, additional fields appear including release source, type etc

Solids and Other Wastes

When 'Yes' is selected, additional fields appear including waste type, volume etc

Archaeological or Cultural

When 'Yes' is selected, additional fields appear including if Indigenous, site name etc

General

Enter details relating to the theft including immediate action taken, value etc

General

Enter details relating to the plant damage, including immediate action taken

Plant Details

Click 'Add' to list all plant damaged and add details such as plant rego, owner, operator name etc

General

Enter details relating to the property damaged including immediate action taken, value etc

General

List the immediate action taken

General

Enter details relating to the drug or alcohol incident including date testing, type of test, drugs detected etc

General

List the immediate action taken

General

Enter details relating to the near miss including action taken and the type of near miss

General

List the immediate action taken