Incident Report Form

  • Incident Report Form

    This form is intended solely for reporting incidents or injuries that occur on Lead College premises or during training activities, such as work placements.

  • Reporter Details

  • Incident - Injury Report Form | V2 - Revised February 2026

    ABN: 63 604 422 853

  • Affected Person*

  • Incident Report Form

  • This report is to be completed following an incident at Lead College Pty Ltd


    Critical incidents  are events that occur on or in the vicinity of the campus that are disturbing, sudden or unexpected.  Critical incidents include, but are not limited to theft, medical emergencies, violence, accidents, fire, injury or death of a student, staff member or member of the public, threats of harm, physical assault, sexual or racial abuse, bomb threat.

     
    Non-Critical Incident: An incident with minimal or no injury, limited impact, and no immediate threat to safety or operations.

  • Incident Details

  • Type of Incident*

  • Gender*
  • Format: (000) 000-0000.
  •  -
  • Date and Time *
     - -
     :
  • Other Parties Involved*
  • Other persons / Organisations involved*

  • Details of Injured

  • Details of Injury

  • Were there any damage to property*
  • Were there any injuries*
  • Are you direct witness*
  • Did you report to campus manager?*

  • Immediate Actions taken

  • Follow Up / Referral

  • First Aid provided*

  • Evidences

  • Are you able to upload CC TV footage*
  • Browse Files
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  • Date*
     - -
     :

  • Please review the critical incident policy on our website www.leadcollege.edu.au

  • Incident - Injury Report Form | V2 - Revised February 2026

    ABN: 63 604 422 853

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