INCIDENT & HAZARD REPORT

Report it.
Act on it.

Capture hazards, near misses, injuries, property or environmental events and assign corrective action through to review.

WHS 2026CONTROLLED RECORDSTAFF USE

01 · DOCUMENT & SITE DETAILS

Document referenceDate *Client / organisation *Job / project referenceWorkplace / site address *Completed by *Supervisor / reviewer

02 · RECORD TYPE

Topic / report / inspection type *Date/time of eventImmediate risk ratingPeople injured / affectedWitnessesPotentially notifiable event?Area isolated / work stopped?

03 · DETAILS & FINDINGS

What happened / hazard identified *Immediate actions taken *Known or potential causes / contributing factors

04 · ACTIONS & FOLLOW-UP

Action / corrective measureAssigned toDue dateStatus

05 · DECLARATION & SIGN-OFF

Completed by typed signature *Signature date *Supervisor / reviewer typed signatureReview dateReview / close-out notes

I confirm this record reflects the actual workplace information available at the time and that identified actions have been communicated to the relevant people.

ISSUE DOCUMENT

Email and file completed Incident & Hazard Report

Submitting creates the branded PDF, emails it to Securatech and the nominated recipient, and saves it in the correct WHS Safety Register folder.

Report it.Act on it.

Email and file completed Incident & Hazard Report

Report it.
Act on it.