Submit a WorkSafe Report

Date & Time of Incident

Please provide the exact date and time of the incident.

Location of Incident

Incidents on site should be located using their JN, for accurate reporting and response.

For incidents at the office, use GPS. And, for incidents in other locations, use GPS if you are there or What3Words if you are reporting remotely.

Incident Type

Select the category that best describes the incident — the SHEQ team will confirm this

Select a type… Injury / Illness Near Miss Property Damage Environmental Security Incident

Incident Subtype Select a type first…

Description of Incident

What happened? Who was involved? Any other relevant details.

Immediate Actions Taken

What was done immediately to ensure safety?

Upload Evidence

Stay in the loop?

We'll keep you updated in line with our 2-2-2 policy

Email Address

Leave blank if you'd prefer not to share

Location

Description of Observation

What did you observe? Any other relevant details.

Immediate Actions Taken

What was done immediately to ensure safety?

Upload Evidence

Stay in the loop?

We'll email you when your idea has been reviewed.

Department Select a department… Civils Head Office Plant and Transport RoadPave Surfacing

Your Idea

Summarise your idea in a sentence or two

Description

How does it work? What improvement does it bring?

Attachments

Supervisor Select supervisor… Ben Nuttall Duncan Reynolds Ged Jennings Jason Wilkins John Smith Karl Hodgson Tim Grindley

Areas for Improvement

Summary