PO Box 546 Toronto NSW 2283
Tel: 02 4959 2444 Fax: 02 4959 7017 Email Hunter Region
PO Box 1225Coffs Harbour NSW 2450
Tel: 02 6651 3220 Fax: 02 6651 8675 Email Coffs Harbour
PO Box 7779Baulkham Hills NSW 2153
Tel: 02 8850 4212 Fax: 02 9659 5374Email Sydney
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If you or another employee have been injured complete a WHS Incident Report.
If a client has been injured continue with the Clinical Incident Form.
Please complete the incident report when the client is not at risk.
How is the incident defined?
The information that I am submitting represents a true and correct reflection of the events. I understand that submitting a false statement may result in:
1. Complications in investigating this event.
2. Disciplinary action and possible termination of employment if submitting as an employee of the company.