All fields are mandatory. If it is not applicable please write N/A.
To be completed for ALL incidents and accidents where an injury has or could have resulted.
injured worker details
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NDIS
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Support Services
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Disability Support Services
Incident Details
Time of Injury
Describe how the injury/illness was sustained
This section should be a brief, factual account of the injury incident. Include impact on staff; who was involved; how, where and when the incident occurred; who did what; who (if anyone) was injured and the nature and extent of injuries (if applicable).
