Use this form to report any workplace accident, injury, incident, close call or illness. Type of Incident Describe the type of incident Select from the options belowInjuryFirst AidIncidentClose CallObservation Guide & Trip Details Guide Name Tour Name & Departure Date Details of all people involved, injured or requiring First Aid Names of People Involved Names of People Involved Incident Details Time & date of incident Witnesses Description of Incident Incident Cause Loaction of incident Complete if incident involved an injury or First Aid was required Type of Injury Cause of injury Was medical treatment necessary? Yes No Details of medical professional Additional Information Additional Information Attach any images of the incident Upload Upload requirementsMaximum 5 files.5 MB limit.Allowed types: jpg, png. Attach any relevant documents Upload Upload requirementsOne file only.5 MB limit.Allowed types: pdf, doc, docx. Submit Leave this field blank