Accident-Incident Report Form

All Accidents and Incidents must be reported and investigated. Please complete the form below.

The safety of all students and staff while enjoying a Sydney Community College Course is a shared responsibility. If you were involved in an accident or incident, please ensure that you inform the correct person, usually, the Site Coordinator. If you are unable to do that, or even if you have done so, please describe the event below. Thank you for your assistance.

About you

Given name ^*

Family name ^*

Email address ^*

About the accident/incident

Where was the accident or incident?

Incident location ^*

Was anyone injured?

Person injured No Yes

Was first aid provided?

First aid given No Yes

Was an ambulance required?

Ambulance required No Yes

Was the injured person required to attend a Medical Centre or Hospital?

Medical Centre or Hospital required No Yes

Medical Venue Name ^*

Have you informed someone else, ie, teaching staff, Site Coordinator or a member of the College management team?

Informed staff member No Yes

Please describe in as much detail, the location and nature of the accident or incident.

Details of the event ^*

Thank you.

Please contact the College on 02 8752 7555 if there is anything else you feel we should be notified about.

Your message is being processed. This will take a few seconds.

Form last reviewed August 2016

Subscribe

* indicates required

Email address *We need this to send you the newsletter

Given name *

Family name *

Date of birth *

/ /( dd / mm / yyyy )

Mobile phone *

Postcode *

Gender

Address: 2A Gordon Street, Rozelle NSW 2039

Phone: 02 8752 7555

Contact Us
Privacy Policy
Terms & Conditions