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Accident/incident report form

Accident/incident report form

Last updated: 18 November 2024

Documents:

Accident/incident report form (pdf, 112.68 KB)

Sample form for your own use to report accidents or incidents.

Published

09 April 2014

Publication type

Template

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Acknowledgement of Country

The Government of Western Australia acknowledges the traditional custodians throughout Western Australia and their continuing connection to the land, waters and community. We pay our respects to all members of the Aboriginal communities and their cultures; and to Elders both past and present.

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