NSW WHS Incident Report (Form 10)

Use this guide when you complete WHS Form 10: Incident and Injury Report from the Housing Industry Site Safety Pack in Tradie Forms.

Before you start

• Record incidents as soon as practical after they occur.
• For serious incidents, follow your WHS procedures and notify SafeWork NSW on 13 10 50 when required.
• Some yes/no tick boxes on the PDF are print-only. Mark those on the exported PDF if needed.

In the app

Injury

Enter incident date and time, nature of incident, and injured person details including name, occupation, address, date of birth, phone, and employer.

Add activity, site location, and nature of injury. Mark the body diagram on the exported PDF after download.

Record treatment on site, treating person, doctor or hospital, and return to work coordinator if applicable.

Witnesses

Add up to two witnesses with name and contact details.

Property Incident

If the incident involved property, plant, or environmental damage, enter date, time, location, damage details, and who received the report.

Description

Describe what happened in the description field.

Immediate Actions

Record immediate response actions taken to stabilise the situation.

Reporting

Enter details for reports to the principal contractor, authorities, and workers compensation insurer in the details fields provided.

Completed By

Enter name, position, signature, and date for the person completing the report.

Save injured person and completed by details as saved details on Pro or Team where helpful.

After export

Keep a copy for your WHS site file. Follow your internal incident and notification procedures.

Tradie Forms maps your entries onto the SafeWork NSW HIISP PDF layout. Tradie Forms is not affiliated with SafeWork NSW.