Report an Incident - Help Us Keep Everyone Safe

Your privacy matters to us. All individual and company names are kept in the strictest confidence and will never be published or shared publicly.

We do need names of individuals and companies to help us create meaningful safety alerts and share important lessons across our industry. This collaboration helps us all work together to improve safety standards for everyone.

AUSJET warmly welcomes and encourages all Members to participate and share their experiences. Your contribution makes a real difference in keeping our industry safe.

General Information

 

Date incident occurred:

-- --
 

Region where incident occured:

 

Type of incident:

 

In which part of the workplace did the incident occur:

 

Person reporting the incident:

 

Company the person reporting works for:

 

About the person

 

Occupation of person directly involved:

 

Experience of persons directly involved in this task:

 

Training level obtained:

 

Other training completed:

 

Hours completed prior to incident:

About the Incident

 

Time of incident:

HH  MM
 

Type of incident:

 

Result of injury:

 

Number of Days Lost:

 

Equipment category:

 

What equipment was being used:

 

Description of damage:

 

Description of injury:

 

Part of body injured:

 

Corrective Action

 
 

What happened unexpectedly:

 

What was the person doing:

 

What immediate action was taken:

 

What preventative action was taken:

 

Upload Photo:


Can't read? - Regenerate