OHS
Incident Report
Policy & Regulations
Login
Incident Report-SARBS
Incident Report Type:
** Select**
Near Miss
Unsafe Condition
Unsafe Act
Incident
Accident
Full Name of on-duty supervisor at time of incident:
Employee ID:
Designation:
Site Code/Project_name:
Date of Incident:
Time of Incident:
Location of Incident:
Incident Priority:
** Select Priority**
Urgent
High
Medium
Low
Trivial
Incident Type:
** Select Incident Type**
Hazard
Near-Miss
Slip & Fall
Accident
Injury
Theft
Fire
Property Damage
Fatality
Illness
Other
Is immediate medical attention required?
** Please select **
Yes
No
Type of evidence:
** Please select **
Documents
Photos
Videos
Other
Please upload evidence:
Please detail any further information regarding this evidence (if applicable):
Are corrective or further action required regarding this incident?
** Please select **
Yes
No
What is your suggestion of future action plan?
Name & signature of reporter:
Submit