Your details are required by law. Anonymous reports are not accepted.
FULL NAME *
JOB TITLE / ROLE *
EMAIL ADDRESS *
PHONE NUMBER *
STEP 2 OF 7 · YOUR MANAGER
Who is your manager?
Your manager will be notified immediately when you submit this report.
MANAGER'S FULL NAME *
MANAGER'S EMAIL ADDRESS *
MANAGER'S PHONE NUMBER
STEP 3 OF 7 · WHEN & WHERE
When and where did it happen?
DATE *
TIME *
EXACT LOCATION *
YOUR GPS LOCATION
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STEP 4 OF 7 · WHAT HAPPENED
What happened?
Describe the incident in your own words. Include what you were doing and the sequence of events.
WHO WAS INVOLVED? *
DESCRIPTION *
IMMEDIATE ACTIONS TAKEN
STEP 5 OF 7 · INJURY & OUTCOME
Was anyone injured?
No injury — near miss or dangerous occurrence
Something went wrong but nobody was hurt. Still legally required to be reported.
Minor injury
First aid treatment only. No time off work expected. Monitor for extended absence.
Injury — time off work likely
Person unable to do normal work. RIDDOR reportable if absence exceeds 7 consecutive days.
Serious / specified injury
Fracture, amputation, loss of sight, crush injury, hospitalisation over 24hrs.
Fatality
Call 999 immediately if not already done.
No immediate RIDDOR flags. SafetyUnit will assess and advise.
BODY PART / NATURE OF INJURY
TREATMENT GIVEN
STEP 6 OF 7 · EVIDENCE
Any photos or witnesses?
Photos are stored securely and may be used in any investigation. This step is optional but strongly recommended.
PHOTOS / VIDEO (OPTIONAL)
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Tap to add photos
JPG, PNG · Up to 5 photos · Max 5MB each
WITNESSES (OPTIONAL)
STEP 7 OF 7 · REVIEW & SUBMIT
Check and submit
Please check your details before submitting. You cannot edit this report after submission.
By submitting you confirm this information is accurate to the best of your knowledge. Your manager will be notified immediately. Anonymous reports are not accepted.
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Report submitted
Your incident has been recorded and your manager has been notified.
A confirmation has been sent to your email. Keep your reference number for records.