Page 15 - Construction Forms

Date: Event (Accident/Incident):

HazardCo Contacted: WorkSafe NZ Contacted: Notifiable Event:
(0800 555 339) (0800 030 040)
Yes No
Yes No Yes No Discussed at H&S Meeting:
First Aid Provided:
Event (Accident/Incident): Yes No
Investigation Completed:
Yes No WorkSafe NZ Contacted: Notifiable Event:
(0800 030 040)
Date: Yes No
Yes No Discussed at H&S Meeting:
HazardCo Contacted:
(0800 555 339) Event (Accident/Incident): Yes No

Yes No WorkSafe NZ Contacted:
First Aid Provided: (0800 030 040)

Investigation Completed: Yes No
Yes No
Notifiable Event:
Date:
Yes No
HazardCo Contacted: Discussed at H&S Meeting:
(0800 555 339)
Yes No
Yes No
First Aid Provided:

Investigation Completed:
Yes No