Under the Work Health Safety Act 2011, a person conducting a business or undertaking must ensure, so far as is reasonably practicable, that workers are safe from injury and risk while at work. Should a workplace near miss, incident or injury occur, Management must be notified as soon as reasonably practicable. The purpose of this form is to document any hazard or incident which has occured whilst in the line of duty and to capture appropriate actions/s to prevent recurrence.