Page Comparison

Department incident is related to

Select the department that would be responsible for investigating the incident. For example, an incident that occurs in relation to an acting student should be assigned to acting, regardless of where the incident occurred or who is reporting.

Location

The physical location where the incident occurred. If Offsite/Other is selected, enter the address of the venue where the incident occurred.

2-4 word summary for title

A short title for the incident report, outlining what occurred. For example, “Fall from Ladder” or “Paint Spill on Stage”

Type of event

Select the appropriate option for the type of incident that occurred. Options available are:

Near Miss - an incident that almost occurred but did not this time (may in the future)
Accident/Injury - any accident or injury to a person
Property Damage - an incident that caused damage to any property or equipment
Illness - A feeling of poor health or sickness not attributable to an injury
Environmental - an event that may cause harm or potential harm to an environmental receptor e.g. air, water, land, wildlife or local habitat
Mental Health - Acute emotional distress, anxiety attack, threat of self harm or suicide, psychotic episode, threatened aggression or violence

Nature of people involved

All people who are involved in the incident. For staff and higher education (HE) students, search for and select all involved people. For all other person types, enter the name and ideally the contact number for the people involved.

Name of witnesses present

The names and ideally contact number for anyone who witnessed the incident occurring, but was not directly involved.

Date and time of the event

When the incident occurred. Note that the time is in 24hr format. Select NOW if the incident is being reported straightaway.

Provide a brief description of the incident

Provide a summary of what occurred leading up to and during the incident.

Near miss type (only shows when near miss selected)

Select the appropriate consequence that nearly occurred

Nature of injury (only shows when accident/injury is selected)

Select the appropriate type of injury. Available options are:

Surface Injury/Illness - Bruises, cuts, scrapes, burn, rash, inflammation or irritation
Back/Joints - Sprain, dislocation, strain or fracture
Heat/Cold Effects - Heat stroke, sun burn, cold or dehydration
Above Neck - Concussion, head injury, eye injury or headache
Internal - Infection, foreign body, crushing, heart palpitations, respiration or severe bruising
Mental Strain - Stress, fatigue, anxiety or depression
Serious - Amputation, electrocution, fatality, poisoning or loss of consciousness

Body parts injured (only shows when accident/injury is selected)

Areas of the body that were injured during the incident. Note that you can select multiple options.

Nature of damage (only shows when property damage is selected)

Select the appropriate option for what was damaged.

Nature of environmental incident (only shows when environmental is selected)

Select the appropriate option for what facet of the environment was exposed/impacted.

Add images of site where event occurred

Select ADD IMAGE to upload images relating to the incident. For example, this may be a photo of damaged equipment or a hazard that contributed to an injury.

Was any immediate action taken

If anything was done immediately after the incident occurred, select YES and then provide a summary of the actions in the text box below. For example, first-aid treatment provided, attempts to clean up a chemical spill etc.

Actual or potential severity of event

Is this a notifiable event?

A notifiable event is any incident of a particular severity that is required to be notified to the respective state regulatory body. In NSW, it is SafeWork NSW. Serious injury, illness, dangerous incident or death must be notified. If you are unsure about whether the incident is notifiable, select UNSURE and answer the questions that appear.

If the incident is notifiable, contact the WHS Coordinator or HR immediately.

What is to be investigated?

This allows you to build the framework for your investigation. Here is the place to write the questions to be answered that will assist you in establishing the cause of the event. You can always add more to this section as questions arise.

Did this accident generate an injury?

Injury category

Date of investigation

Most of the time you wil be able to use the NOW button. However you can choose a date if you have started earlier.

Agency of event

What was the cause of the event?

Mechanism of event

How did the injury/event happen?

Supporting images (if applicable)

You can upload photos if they are saved to your device

Was this person trained in the task?

This may not always be applicable. If the injury has resulted from a task that the person was performing then whether or not they were trained may be a contributing factor.

How long was the person working for in this shift before the event happened?

How long was the person working or studying that day before the event happened

Period of employment/study of person involved:

This may not always be applicable. If the injury has resulted from a task that the person was performing then the amount of prior training may be relevant

Lost time (in hours):

This relates to the lost time as a result of the incident. For example, it may be the time that an injured person is unable to work/study after the incident. If there is no lost time enter 0. If you are unsure, you can save the form and enter the information later or use the comment bubble to @someone in People & Culture to provide the information.

Did this injury result in an insurance claim?

If you are unsure, you can save the form and enter the information later or use the comment bubble to @someone in People & Culture or WHS to add the information to the form.

Absent/failed defences factors

What was missing or not in place that contributed to the event

Individual/team factors

What were the human factors that contributed to the event?

Task/environmental factors

What circumstances contributed to the event?

Organizational factors

Where there procedural factors that contributed to the event?

Investigation outcome statement

This is a summary of the investigation findings. For example, were tools being used incorrectly or without proper supervision.
Was the venue inadequate for the activity?

Corrective Actions (if required)

If you determine there are things that need to be done to ensure the incident / event does not happen again, you can Create a New Action, Assign the action to a person to complete and set a deadline the action needs to be completed by. You can also set a reminder.