All incidents must be reported. 6. INCIDENT INVESTIGATION – TO BE UNDERTAKEN BY HR OFFICE COORDINATOR / CEO / CEO’S NOMINATED REPRESENTATIVE. If the incident was caused by a criminal act, have the Police been notified ? Yes No N/A Has a health & safety representative been consulted in relation to this report? Yes No Name: What were the factors that may have led to the incident/hazard (there may be more than one). Consider areas below. System No Machines No Environment No People No Yes below /Equip Yes below Yes below Yes below Procedures Size/ weight Access Supervision Workload Design Housekeeping Training Maintenance Maintenance Lighting Job competency Task allocation Chemicals Temperature Floor / ground Other Other Other Other specify………. (specify)………… specify……………… specify ……………….
All incidents must be reported. 6. INCIDENT INVESTIGATION – TO BE UNDERTAKEN BY HR OFFICE COORDINATOR / CEO / CEO’S NOMINATED REPRESENTATIVE. If the incident was caused by a criminal act, have the Police been notified ? Yes No N/A Has a health & safety representative been consulted in relation to this report? Yes No Name: What were the factors that may have led to the incident/hazard (there may be more than one). Consider areas below. System No Yes below Machines /Equip No Yes below Environment No Yes below People No Yes below Procedures Workload Maintenance Task allocation Other (specify)………… Size/ weight Design Maintenance Chemicals Other specify……………… Access Housekeeping Lighting Temperature Floor / ground Other specify ………………. Supervision Training Job competency Other specify……….
wfd_host_induction_kit_1.docx