Types of incident
Any work related event resulting in injury or ill health.
Any work related non-accidental event when someone is physically or verbally abused. If an assault has resulted in an injury it must still be recorded as an assault.
Any work related event which may have resulted in significant injury or death under slightly different circumstances.
A specific work related event detailed in the RIDDOR Regulations that has a high potential to cause death or serious injury. Please contact your departmental health and safety section before completing the form.
Specific work related diseases diagnosed by an occupational health physician that are detailed by the RIDDOR Regulations. Please contact occupational health before completing the form.
Completing the form
Complete the health and safety incident reporting form
A manager, headteacher or nominated person should complete the form as soon as is reasonably practicable after being informed of the incident. The form should not be completed by the person reporting the incident.
The manager, headteacher or nominated person should advise employees that they can have a trade union representative or colleague to support them while reporting the incident.
To complete the form for an individual, you'll need the personal details of any injured or assaulted person and the details of where, when and how the incident occurred.
If more than one person has been injured or assaulted, a separate form is needed for each individual.
On submission, the completed form will be forwarded to the appropriate departmental health and safety section. Please do not print details entered before pressing the submit button. A copy will be available once approved by the departmental health and safety section.
It is a legal requirement that some serious incidents are reported to the Health and Safety Executive (HSE) within specified timescales. So it's important that you complete and submit the form as soon as is reasonably practicable after being informed of the incident.
The departmental health and safety section will report incidents as required to the HSE.
For school incidents contact your departmental safety section for further clarification.