Who did we Consult with When Deciding on the Actions for the Controls - Management Assignment Help

Assignment Task:

Task:

HEAL & SOUL PODIATRY / FAIR-GO ADVOCACY & ACCESS SUPPORT SERVICES incident & hazard report form
To be completed in the event of a worker witnessing/being involved in any non-conformance, or an incident, or resulting, or potentially resulting, in an injury or an unsafe practice or a near hit.

• Personal details
• Surname: First name(s): DOB:
• Position:
• Managers Name:
• Address:
• Telephone number (landline):
• Telephone number (mobile):
• Email address:
• Incident details (completed by person involved)
• Date of incident: Time of incident:
• Description of incident: (in your own words, what happened?)
• Location of incident:
• Name of witnesses to the incident
• Name: Contact:
• Name: Contact:
• Name: Contact:
•  
• Details of injuries sustained
• Injured person’s name:
• Type of injury:
• Treatment received:
• Injured person’s name:
• Type of injury:
• Treatment received:
• Details of other person’s involved
• Did the incident involve any other person? macrobutton OptionButtonYes Yes macrobutton OptionButtonYes No
• (If yes, provide their name and contact details)
• Details of any damage
• Did any damage to property occur? macrobutton OptionButtonYes Yes macrobutton OptionButtonYes No
• (If yes, provide details of the damage)
• Other details
• Were the Police involved? macrobutton OptionButtonYes Yes macrobutton OptionButtonYes No
• (If yes, provide details of the officers attending)
• Was the State Safety Regulator (WorkSafe) informed? macrobutton OptionButtonYes Yes macrobutton OptionButtonYes No
• Is this a workers compensation related incident? macrobutton OptionButtonYes Yes macrobutton OptionButtonYes No
•  
• What did we do at the time of the incident?
• Actions Proposed? Taken?
• Change to induction/toolbox Change to ongoing training Change to work procedure Change to work environment Equipment maintenances Job re-design Site clean up Risk assessment review Other preventative action Corrective Actions
• Describe what needs to be done Who is responsible? Date for completion
• Consultation
• Who did we consult with when deciding on the actions for the controls?
• Name Position Contact Details (phone)
• Authorisation of corrective action
• Name Signature Date

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