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Accurate Recruitment
Your Local Australian Recruitment Agency
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Home
About Us
Clients
Menu Toggle
Labour Hire
Permanent Placements
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Job Board
Register Interest
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Our Locations
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Incident Date / Time
*
Date
Time
Location / Work site of the Incident
*
Incident Type
*
Workplace injury
Illness or Unhealthy condition
Unsafe working site
Damaged equipment
Obsolete/Improper equipment
Non-compliance with OHS
Other
Description of the events
*
Photo Evidence of Incident
*
Click or drag files to this area to upload.
You can upload up to 3 files.
Was First Aid provided?
*
Yes
No
Was there lost time?
*
Yes
No
Witness Details
Contact Name
*
First
Last
Contact Number
*
Contact Email
*
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