Incident and Hazard Report Form
v2.0
Purpose. Any worker completes this form on the day for every injury, near miss, hazard, equipment failure or property damage so that it can be entered in the WHS Incident and Hazard Register and acted on.
1.When to use this form
Use this form for any event that caused or could have caused injury, illness or damage in the studio, gallery, theatre, workshop or on location, and for any hazard you notice. Report before the end of your shift or shoot day even if no one was hurt.
2.What to include
Describe what happened in plain words, in order, with times. Name the people involved and any witnesses. Say what equipment or materials were involved and where they are now. Say what was done immediately and whether first aid was given.
3.Hazards
For a hazard, describe where it is, what harm it could cause and what you have done to make it safe for now, such as tagging out equipment or closing off an area.
4.Submission
Give the completed form to your department lead or the stage manager, who must forward it to the Operations and Finance Manager the same day. The register entry will record the follow-up action and who owns it.
5.Privacy
Personal information on this form is used only to manage the incident and the company's safety obligations and is stored securely.