Accidents happen to everyone! We are doing our best to make sure that everything runs smoothly but mistakes still happen.

On this page, you can fill out an Incident Report so that we can investigate the Incident and make sure that we are putting in place appropriate steps to deal with it.

Please do this within 12 hours of the Incident occurring as well as contacting your team leader or relevant management.

To see Buenavista Services’ Incident Management Policy and Procedure please refer to the Core Module Policy and Procedure Manual Section 2.6 which can be found:

Core Policy and Procedures Manual

Incident Report

To be completed within 12 hours of the incident/accident occurring.

Please take a few pictures of the incident and email them to:

incidents@buenavistaservices.co

For a paper copy click the below button. You can either email this to: incidents@buenavistaservices.co or you can post it to:

10/100 Oakmont Avenue Oxley QLD 4075

Incident Report Paper Form

Incident Details

Person affected by Incident

Participant

Staff Member

Other (state whom)

Date of Incident

Note: the date is set to American Format: Month Day Year.

MM

DD

YYYY

Time of Incident

Hour

Minute

Second

Injured Person's Name

First Name

Last Name

Incident Location

Where did this incident take place?

Name of Person Reporting the Incident

First Name

Last Name

Phone Number

What's the number of the person reporting the incident?

Email

What's the email of the person reporting the incident?

Date of Report

Note: the date is set to American Format: Month Day Year.

MM

DD

YYYY

Witness Details

Name of Witness

Name of another person that saw the incident happen or was around the area at the time.

First Name

Last Name

Phone Number

Contact Number of the Witness

Email

Email of the Witness

Witness' description of the Incident

What is the Witness account of the incident?

Description of the Incident (Participant/Staff)

Identify who provided the information (for future investigation).

Who told you about the incident? (if it was not you)

What happened?

In your own words describe what happened?

Description of injuries or impact on person (if applicable)

Was the person injured? Did anything have an impact on them?

Actions taken by our Organisation (e.g. First Aid, Ambulance Called, Support to Person)

What did we do as a company to help assist this incident?

Incidents

Incident Report