Wintec Visitor and Contractor Event Reporting

Report Injury

Have you seen or been involved in an incident that has caused injury to a person.

Report Illness

A medical event that has occurred whilst on a Wintec Campus eg fainting, seizure, heart attack

Report Incident

Have you seen or been involved in an incident which has caused damage to property / environment.

Report Near Miss/Hazard

Have you seen an event that had the potential to cause an injury or an incident.

Record Observation

Record Proactive Safety Observations.

Feedback

Give Feedback to the Health and Safety Team.

Instructions: Please complete all fields with as much relevant detail as possible. Once completed, 'Save' the form and the following events will occur:
• You will be given a reference number, save or write this number down for future reference
• An email will be sent to the supervisor of the person involved in the incident
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The Primary Injury is the most important / critical injury to the person.
Primary Body Location Body Area Injury

Report Observation

Instructions: Please complete all fields with as much relevant detail as possible. Once completed, 'Save' the form and the following events will occur:
• You will be given a reference number, save or write this number down for future reference
• An email will be sent to your supervisor advising a form has been submitted
Action Person Responsible Completion Date Status

Feedback

Instructions: Please complete all fields with as much relevant detail as possible. Once completed, 'Save' the form and the following events will occur:
• You will be given a reference number, save or write this number down for future reference
• An email will be sent to your supervisor advising a form has been submitted