Safety and Incident Report FORM

INCIDENT REPORT FORM

SAFETY - CHILD WELFARE, SECURITY & SAFETY, INCIDENT & FIRST AID REPORTING

This form is a CREW form so we can keep a register with accurate information of any and all matters related to child injury/illness that occurs during Crew activities, first aid, security, and child welfare. This generates an email that is submitted to the Principals. If it is urgent, please also ensure you text, call or messenger the Principals. The content is confidential and will only be used where appropriate or legally required to do so to ensure the safe and secure operation of all Crew activities.
If it’s a matter of immediate safety concern or medical emergency, CALL 000. If appropriate, then contact student/person’s emergency contacts as well as the Principals.
We thank you for keeping Crew a safe and caring community. :)

Report safety concerns to decyp

Tell Someone - DECYP INFO & GUIDANCE

REPORT CHILD EXPLOITATION - ACCCE

Guidance on Responding to Children of Concern

Compulsory Safeguarding Training

TYPE OF ISSUE BEING REPORTED

DATE OF INCIDENT

Record the date of the incident, regardless of what date this report is submitted.

TIME OF INCIDENT

Include an indication if not exactly sure. Not required for maintenance requests.

WHAT HAPPENED?

Describe what happened as fully as needed to provide a complete record. What led up to the incident? Who was involved/impacted (if any one)? What was the known or possible cause? etc.

PEOPLE INVOLVED

List the names of all the people directly involved. Not applicable to maintenance report.

WITNESSES - if relevant

List the names of any people who were not directly involved but did or may have witnessed the incident.

RECOMMENDED FOLLOW-UP

Do you have any suggestions of what's needed to address the incident?

EQUIPMENT/SUPPLIES TO BE REPLACED OR REPAIRED

NAME OF PERSON MAKING THIS REPORT

DEBRIEFING AFTER AN INCIDENT - FIRST AID, CHILD SAFETY, NEAR MISS, SECURITY, ACCIDENT

In the event of an injury or incident that is more than a minor event, it is important to ensure you ‘the first aider’ or tutor are feeling ok. Red Cross recommends considering the following questions:

How did I react?
Did I stay calm?
What else could have I done?
How can I improve my skills?
What other equipment might have been appropriate?
Do I need to discuss this with a trusted manager or colleague, or other health or mental health professional?

Please keep the communication lines open with Leiz 0419146634 or Allan 0418146634, and discuss any serious matter or even concern about a potentially serious matter with Leiz or Allan, as well as have a debrief conversation with one of them. If you are not feeling OK after an incident or injury, we encourage you to talk with your Lead Tutor or one of the Co-Principals (Leiz or Allan) or a health professional such as a GP or psychologist.

INCIDENT REPORT FORM

Acknowledgement to Country

CONTACT Musical Theatre Crew: hello@musicaltheatrecrew.com
PO Box 371, North Hobart, Tasmania, Australia 7002