Incident Report

Incident Report

To report an incident, please follow the procedure listed below and provide all important information.
Incident Procedure

1. If this is an emergency:
- Dial 000 then Call your Coordinator (if no answer, call 0438 935 818) then complete the Incident Report below
- Follow directions from Emergency Services
2. If this is not an emergency:
- Follow your Chain of Command listed on SupportAbility
- Complete the Incident Report below, submit it
  - If immediate response is required, HR will call you.
- Otherwise, your report will be sent to the Coordinators and they will contact you
- Journal in your activity notes that you have completed an Incident Report
Name of the Person completing this Incident Report*

First NameLast Name
Position of the Person completing this Incident Report*

Support WorkerHuman ResourcesSupport CoordinatorPractice ManagerOther
Report date and time (when are you submitting this report?)*

DayMonthYear
Date
Hour MinutesAM/PM Option
Date and time when this incident occurred (e.g., when did this incident occur?)*

DayMonthYear
Date
Hour MinutesAM/PM Option