SafeWork Incident Notification (Australia)
NOTIFIABLE INCIDENT NOTIFICATION RECORD
Work Health and Safety Act 2011 (Cth) — Sections 35-39
This document records the details of a notifiable incident as required by the Work Health and Safety Act 2011 (Cth) and equivalent state and territory WHS legislation. It is the responsibility of the person conducting a business or undertaking (PCBU) to notify the relevant WHS regulator immediately upon becoming aware of a notifiable incident.
NOTIFIABLE INCIDENT — DUTY TO NOTIFY
- Sections 35-38 of the Work Health and Safety Act 2011 (Cth) require the PCBU to notify the relevant WHS regulator IMMEDIATELY upon becoming aware of a notifiable incident.
- The relevant WHS regulators are: SafeWork NSW (13 10 50), WorkSafe Victoria (13 23 60), Workplace Health and Safety Queensland (1300 362 128), WorkSafe WA (1300 307 877), SafeWork SA (1300 365 255), WorkSafe Tasmania (1300 366 322), WorkSafe ACT (02 6205 0200), NT WorkSafe (1800 019 115), Comcare (1300 366 979).
- The incident scene must be preserved and must not be disturbed until a WHS inspector gives permission (section 39).
- Failure to notify is a criminal offence: maximum penalty of $50,000 for an individual, $250,000 for a body corporate.
SECTION 1 — PERSON COMPLETING NOTIFICATION
Name: [Notifier Name]
Position: [Notifier Position]
Phone: [Notifier Phone]
Email: [Notifier Email]
Notification date: [Notification Date]
Initial notification to regulator: [Phone Notification Time]
SECTION 2 — BUSINESS / PCBU DETAILS
Business name: [PCBU Name]
ABN: [PCBU ABN]
Address: [PCBU Address]
Industry: [PCBU Industry]
Relevant WHS regulator: [WHS Regulator]
SECTION 3 — INCIDENT LOCATION AND TIME
Location: [Incident Address]
State/territory: [Incident State]
Date of incident: [Incident Date]
Time of incident: [Incident Time]
SECTION 4 — TYPE OF NOTIFIABLE INCIDENT
Category: [Incident Category]
SECTION 5 — PERSON AFFECTED
Name: [Injured Person Name]
Age: [Injured Person Age]
Role: [Injured Person Role]
Occupation: [Injured Person Occupation]
Injury/illness description: [Injury Description]
SECTION 6 — INCIDENT DESCRIPTION
Factual account: [Incident Narrative]
Plant/equipment/substances involved: [Plant Equipment Involved]
Witnesses: [Witness Details]
SECTION 7 — SCENE PRESERVATION AND IMMEDIATE RESPONSE
Immediate actions taken: [Immediate Actions]
Scene disturbed before inspector arrived: [Scene Disturbance Occurred]
SECTION 8 — PRELIMINARY OBSERVATIONS AND INVESTIGATION PLAN
Contributing factors (preliminary): [Preliminary Observations]
Investigation plan: [Investigation Plan]
DECLARATION
I, [Notifier Name], [Notifier Position] of [PCBU Name], declare that the information contained in this notification is true and accurate to the best of my knowledge.
Signed: ________________________
Date: [Notification Date]
Prepared under the Work Health and Safety Act 2011 (Cth) and equivalent state and territory WHS legislation. Retain this record for at least 5 years. A copy of all incident notifications must be kept in accordance with the WHS Regulations 2017 (Cth) and equivalent state regulations. Legal advice should be sought regarding any investigation, prosecution, or regulatory action arising from this incident.
PCBU Representative / WHS Manager
________________
Signature
Date: ________________
What Is a SafeWork Incident Notification (Australia)?
A SafeWork Incident Notification in Australia records the hazards, risks, controls, or incident details for a workplace activity to support a safe system of work under the Fair Work Act 2009 (Cth).
A 'notifiable incident' is defined in section 35 and Schedule 1 of the WHS Act 2011 as one of three types of events: (1) a workplace fatality or death; (2) a serious injury or illness, which includes any injury or illness that requires the person to have immediate treatment as an in-patient in a hospital, immediate treatment for amputation, serious laceration, degloving, spinal injury, loss of bodily function, serious burns, loss of vision, or loss of consciousness; or (3) a dangerous incident that exposes a worker or any other person to a serious risk to their health or safety from an immediate or imminent hazard, including the uncontrolled escape of a substance, collapse or failure of an excavation, collapse of a structure or plant, implosion, explosion, or flooding.
The WHS regulator for each state and territory is: SafeWork NSW (NSW), WorkSafe Victoria (Victoria), Workplace Health and Safety Queensland (WHSQ) (Queensland), WorkSafe Western Australia (WA), SafeWork SA (South Australia), WorkSafe Tasmania (Tasmania), WorkSafe ACT (ACT), NT WorkSafe (Northern Territory), and Comcare for Commonwealth entities and self-insured corporations.
Notification must be given immediately after the PCBU becomes aware of the notifiable incident — typically by phone to the regulator's 24-hour emergency line. A written notification may then be required within 48 hours (for serious injuries and dangerous incidents in some jurisdictions) or immediately. Failure to notify is a criminal offence attracting significant penalties.
The legal framework governing the SafeWork Incident Notification (Australia) in Australia draws on several key statutes and regulatory bodies. Under the Fair Work Act 2009 (Cth), the Fair Work Commission (FWC) adjudicates workplace disputes. Section 394 of the Fair Work Act 2009 governs unfair dismissal claims. The Fair Work Ombudsman (FWO) enforces compliance with the National Employment Standards (NES). The Privacy Act 1988 (Cth) and Australian Privacy Principles (APPs) govern personal data handling. The Australian Taxation Office (ATO) administers PAYG withholding and superannuation guarantee obligations under the Superannuation Guarantee (Administration) Act 1992. Parties executing a SafeWork Incident Notification (Australia) in Australia should confirm the document reflects current law, including any amendments enacted since the original drafting date. The Fair Work Act 2009 (Cth) sets the foundational requirements.
When Do You Need a SafeWork Incident Notification (Australia)?
A SafeWork Incident Notification must be completed and submitted to the relevant WHS regulator whenever a notifiable incident occurs at an Australian workplace. The obligation applies broadly — it covers not just the physical workplace of the employer, but any place where work is being done, including construction sites, client premises, vehicles, remote locations, and public areas where workers are undertaking work.
Fatalities and deaths: Any death that occurs at a workplace or is connected with the conduct of a business or undertaking must be notified immediately. This includes deaths of employees, contractors, labour hire workers, visitors, and members of the public who die as a result of a workplace incident. Even if the death occurs at a hospital after the person was injured at work, the notification obligation exists.
Serious injuries and illnesses: The most common notifiable incidents are serious injuries requiring hospital admission as an in-patient for immediate treatment. This includes: fractured bones (excluding fingers and toes unless they require surgery); amputations or partial amputations; serious lacerations requiring surgery; spinal injuries; serious burns (assessed by medical personnel); loss of vision; and loss of consciousness, even if brief. A single broken bone requiring surgery (such as a fractured wrist repaired by plate and screws) would be notifiable. A sprain treated and discharged at an emergency department (without in-patient admission) may not be notifiable.
Dangerous incidents (near-misses): A dangerous incident is a notifiable event even if no-one is injured. These include: uncontrolled escapes of gas, vapour, dust, or electricity; collapse or failure of an excavation or trench; collapse of a wall, floor, or other structural element of a building or structure; collapse, failure, or malfunction of plant (equipment) that could have caused serious injury; implosion, explosion, or fire; flooding; and uncontrolled escape, spillage, or leakage of a substance.
Multiple PCBU situations: On construction sites and in other settings where multiple PCBUs are operating simultaneously (principal contractor and subcontractors), each PCBU that is connected with the notifiable incident has an independent notification obligation. In practice, notification responsibilities are often coordinated through the principal contractor's WHS management system.
What to Include in Your SafeWork Incident Notification (Australia)
A compliant WHS incident notification should document all information required by the WHS regulator and provide a complete factual record of the incident for investigation and compliance purposes.
Immediate phone notification: The most critical step is notifying the relevant WHS regulator by telephone as soon as possible after the incident — typically within minutes or hours, not days. The regulator's phone notification line must be called even if a formal written notification is also required. Note the date, time, and reference number of the phone notification.
PCBU details: The full legal name and ABN of the business, the principal business address, the industry, and the name and contact details of the responsible person must be provided.
Incident location and time: The exact location of the incident (address, site, area within the workplace), the date and time of the incident, and the date of the notification must be recorded accurately.
Type of notifiable incident: The notification must correctly categorise the incident as a death/fatality, serious injury/illness, or dangerous incident. The category determines the regulatory response and the investigation approach.
Person involved: The name, age, occupation, and role of the person who was injured or killed (or exposed to risk in a dangerous incident) must be recorded. Privacy obligations apply — information should be limited to what is necessary for regulatory purposes.
Description of the incident: A factual, chronological account of what happened — including what the person was doing, the sequence of events, and any plant, equipment, or substances involved — must be provided. Witness details should be recorded.
Scene preservation: Section 39 of the WHS Act 2011 requires the incident site to be preserved and not disturbed (subject to limited exceptions) until a WHS inspector arrives or gives permission. Document compliance with this obligation.
Investigation plan: The PCBU is obligated to conduct an investigation into the causes of the incident and to implement corrective measures to prevent recurrence. A formal investigation plan should be documented.
Additional compliance elements for a SafeWork Incident Notification (Australia) used in Australia include: Under the Fair Work Act 2009 (Cth), the Fair Work Commission (FWC) adjudicates workplace disputes. Section 394 of the Fair Work Act 2009 governs unfair dismissal claims. The Fair Work Ombudsman (FWO) enforces compliance with the National Employment Standards (NES). The Privacy Act 1988 (Cth) and Australian Privacy Principles (APPs) govern personal data handling. The Australian Taxation Office (ATO) administers PAYG withholding and superannuation guarantee obligations under the Superannuation Guarantee (Administration) Act 1992. Forms-legal.com provides this template as a starting point for Australia-compliant documentation.
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Reference this free template in an article, syllabus, or research note:
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author = {{Forms Legal}},
title = {SafeWork Incident Notification (Australia) (Australia)},
year = {2026},
howpublished = {\url{https://forms-legal.com/australia/employment/health-safety/safework-incident-notification-whs-act-australia}},
note = {Free legal document template. Based on Fair Work Act 2009 (Cth)}
}Frequently Asked Questions
Under Australian WHS legislation, workplace incidents fall into two categories: notifiable incidents (which must be reported to the WHS regulator) and recordable incidents (which must be recorded in the employer's register of injuries but need not be notified to the regulator). A notifiable incident under section 35 of the Work Health and Safety Act 2011 (Cth) is limited to three categories: deaths or fatalities, serious injuries or illnesses (as defined in Schedule 1 — requiring immediate in-patient hospital treatment, amputation, serious burns, spinal injury, loss of consciousness, or damage to bodily organs), and dangerous incidents (exposing a person to a serious risk from an immediate or imminent hazard). Incidents resulting in first aid treatment only, or treatment at an emergency department without hospitalisation, are generally not notifiable but must be recorded in the employer's injury register. All employers should maintain a register of injuries even for non-notifiable incidents, as these records assist in identifying hazard trends and in demonstrating compliance.
Failure to notify the relevant WHS regulator of a notifiable incident is a criminal offence under section 38 of the Work Health and Safety Act 2011 (Cth) and equivalent state WHS Acts. The maximum penalty for an individual PCBU who fails to notify is $50,000 (50 penalty units). The maximum penalty for a body corporate is $250,000 (250 penalty units). Failure to preserve the incident scene (section 39) carries similar penalties. These are strict liability offences, meaning that the regulator does not need to prove that the PCBU intended to breach the obligation — only that the breach occurred. In addition to criminal penalties, failure to notify may be used as evidence of poor safety culture in any subsequent prosecution or investigation into the underlying incident. Under Australia law, Fair Work Act 2009 (Cth), parties should seek independent legal advice from a qualified lawyer to confirm compliance with all applicable requirements. Under the Fair Work Act 2009 (Cth), the Fair Work Commission (FWC) adjudicates workplace disputes. Section 394 of the Fair Work Act 2009 governs unfair dismissal claims. Forms-legal.com provides this template as a starting point for Australia-compliant documentation.
Under section 39 of the Work Health and Safety Act 2011 (Cth), after a notifiable incident occurs, the PCBU must require that the incident site is not disturbed until a WHS inspector arrives and gives permission for the site to be disturbed, or until the relevant WHS regulator is informed (by phone) that no inspection is required. In practice, a WHS inspector typically visits the site within hours for serious incidents. The scene preservation obligation is subject to three exceptions: disturbance is required to assist injured persons, relieve a person from suffering, prevent further injury or harm, or prevent destruction of or serious damage to property — and only to the extent necessary for those purposes. If the scene must be disturbed for safety reasons, the PCBU should photograph and document the scene thoroughly before disturbance and record the reasons for disturbance.
In a workplace where multiple PCBUs are operating simultaneously — as is common on construction sites, where a principal contractor and multiple subcontractors work concurrently — each PCBU who is connected with the notifiable incident has an independent obligation to notify the relevant WHS regulator. The principal contractor does not absorb the notification obligations of subcontractors, and vice versa. However, in practice, WHS management on major projects is typically coordinated through the principal contractor's safety management system, and the principal contractor often takes responsibility for making the notification on behalf of all connected PCBUs. Regardless of who makes the notification, each PCBU remains legally responsible for ensuring that their notification obligation is fulfilled. On complex projects, it is advisable to include clear WHS incident reporting procedures in subcontract agreements.
A SafeWork Incident Notification (Australia) does not legally require a lawyer in Australia, and individuals and businesses may draft and execute the document independently. The Fair Work Act 2009 (Cth) does not mandate legal representation for the creation or signing of this type of document. However, seeking independent legal advice from a qualified Australia lawyer is recommended for transactions involving substantial financial value, complex regulatory requirements, or cross-border elements where multiple legal jurisdictions may apply. A lawyer can verify that the document complies with all applicable statutory requirements, identify potential risks specific to the transaction, and confirm that the terms adequately protect the interests of all parties involved. The Federal Court of Australia has jurisdiction over disputes arising from this type of document, and Australian Securities and Investments Commission (ASIC) may impose additional compliance obligations depending on the nature of the underlying transaction. Professional legal review is particularly advisable where the document will be submitted to government agencies or used as evidence in legal proceedings.
This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer
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