Health and safety forms

This safety incident reporting system forms part of the Accident/ Incident, Near Miss and Dangerous Occurrence Investigation and Reporting Procedure.

Local managers should not report RIDDOR (Reporting of Injuries, Diseases and Dangerous Occurrences Regulations) events to the Health & Safety Executive. All RIDDOR reporting will be carried out by the relevant Health and Safety team supporting the local managers.

Data protection

The reporting form meets the requirements of the Social Security (Claims and Payments) Regulations 1979 and the Social Security Administration Act 1992 and replaces the Accident Book BI 150.

To comply with the General Data Protection Regulations (GDPR) personal details entered on this form will be kept confidential. Information from the form will be stored electronically for up to 70 years.

To ensure that the requirements of the General Data Protection Regulations (GDPR) are met the reports from this form will be used to enable Hampshire County Council meet its legal obligation with regard to health and safety as well as to improve its health and safety performance. Information from this form will be used in investigations and will be held and stored securely to enable the Council to analyse its health and safety performance with the aim of improving that performance. The Council may use the information in any legal action that could arise from the consequences of the incident reported on this form and may be obliged to disclose information as a statutory requirement.

Report an incident

Report an incident

Incidents that should be reported

  • Accident – something that has resulted in an injury to someone, including employees, contractors, agency workers, visitors, members of the public, etc.
  • Road traffic incident – a road traffic accident/ incident that has resulted in an injury to someone, including employees, contractors, agency workers, visitors, members of the public, etc.
  • Near miss – something which did not cause harm, but could have done had anyone been near enough at the time to be injured. An example might be a light fitting falling from the ceiling onto the floor and not hitting anyone, but which would have caused injury had it done so.
  • Occupational ill health – a range of specific illnesses or diseases that can be caused by work as defined in Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013.
  • Dangerous occurrence – a specific, reportable event as defined in the Reporting Of Injuries, Diseases and Dangerous Occurrences Regulations 2013.
  • Violence and aggression – specific incidents of violence and/ or aggression in the workplace.

Every incident will be given a unique number which should be included in all documents and correspondence.

Information from the reporting form will be used to:

  • allow accurate selection of reports and reporting
  • determine levels of investigation and support required
  • carry out accident trend analysis and targeting of proactive work to prevent incidents

Investigate an incident

Once an incident has been reported, the relevant manager will be sent an email directing them to carry out a local investigation and record the findings in the

Accident/incident investigation form.