WHS Form 03 Accident, Injury or Incident Report – WHS documentation prepared & customised for your business by JSEAsy.
Use this form to report any workplace accident, injury, illness or incident.
- DETAILS OF PERSON INJURED OR INVOLVED
- INJURY DETAILS
- MEDICAL TREATMENT OBTAINED
- OUTCOME FOR INJURED PERSON
- WITNESS DETAILS
- CORRECTIVE ACTION RECOMMENDED BY SUPERVISOR AND ACTION TAKEN
- NOTIFICATION OF AUTHORITIES
- ACCIDENT INVESTIGATION FINDINGS
This form is also included in the JSEAsy Software Premium version