Submit a WorkSafe Report

Email Address

We'll keep you updated on this incident in line with our 2-2-2 policy.

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.

Department

Which department or team was involved?

Select department… Surfacing Civils Head Office RoadPave Plant and Transport

Incident Type

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

Select type… Environmental Injury / Ill Health Property / Asset Damage Property / Plant Incident

Hazard

What caused or could have caused the incident?

Select hazard… Allergic reaction Amputation Bitumen spill or contamination Breakdown leading to unsafe situation Bruising Burns Chemical release Crush injury Cuts / lacerations / graze Damage to buildings / structures Damage to client assets (e.g. drainage, ducts) Damage to footways / carriageways outside scope Damage to protected habitat / vegetation Damage to street furniture (bollards, kerbs, signage) Damage to utilities (electric, gas, telecoms, water) Dislocation(s) Dust emission / air pollution Exposure to hazardous substances Eye injury Failure of lifting operation Fire / explosion damage Fracture(s) Fuel / oil spill Hearing damage Heat stress / heat exhaustion Load shift / dropped load Loss of consciousness Noise nuisance (public impact) Occupational illness Plant overturn / instability Plant striking object / structure Pollution of watercourse / drainage Puncture Respiratory injury Reversing incident Road traffic collision (public highway) Shock / trauma Site vehicle collision Sprains / strains Striking pedestrian Waste mismanagement / fly tipping

Description of Incident

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

Immediate Actions Taken

What was done immediately to ensure safety?

Upload Evidence

Date & Time of Observation

Leave blank if this happened today — only fill this in if you're reporting something that happened earlier.

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

Department

Which department or team was involved?

Select department… Surfacing Civils Head Office RoadPave Plant and Transport

Observation Type

Select the type that best describes what you observed

Observation Subtype

Select the specific category that best describes what you observed

— select —

Stop Work Authority Used?

Did you use your Stop Work Authority to stop the work until it was made safe?

Location of Observation

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

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

Description of Observation

What did you observe? Any other relevant details.

Immediate Actions Taken

What was done immediately to ensure safety?

Upload Evidence

Email Address

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

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

Your Idea

Summarise your idea in a sentence or two

Description

How does it work? What improvement does it bring?

Attachments

Supervisor Select supervisor… Alan Rigby Alex Randell Andrew Peers Duncan Reynolds Kieran Hodgson Martin Brady Sean Crossland Thomas Hurst John Smith Ben Nuttall Tim Grindley Jason Wilkins

Areas for Improvement

Summary

Your Name

Location

On site, search by JN or scheme. At the office or elsewhere, use GPS.

Photos & Videos

Add as many photos or videos as you like. HEIC, JPG, PNG, MP4, MOV and more are all supported.