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Page 1 of 6

POLICY NO: 5.6.4

OCCUPATIONAL HEALTH AND SAFETY REPORTING

OBJECTIVES

To ensure that all accidents and/or injuries to any employee are reported to the appropriate supervisor/manager as soon as possible after the accident/incident occurs.

POLICY STATEMENT

All accidents and/or injuries to an employee shall be reported in accordance with the procedure detailed below to the appropriate supervisor/manager as soon as possible after the accident/incident occurs.

Date Adopted: 21 December 2004 Date Amended: -

Date Reviewed: March 2011 Date of Next Review: March 2016

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GUIDELINES AND POLICY PROCEDURE FOR

OCCUPATIONAL HEALTH AND SAFETY REPORTING -

POLICY NO 5.6.4

1. PERSONAL INJURIES [WORKERS COMPENSATION]

All injuries to the employee must be reported to the appropriate supervisor/manager as soon as possible after the accident/incident occurs.

All injuries that require consultation with a doctor, hospitalisation, compensation or more than one day off shall be investigated by the Manager Human Resources, the Safety Representative and the Supervisor/Manager of that injured person.

All injuries that require compensation and ten (10) or more working days off shall be fully investigated by the relevant Supervisor/Manager.

The investigation of serious accidents shall commence within 24 hours of the occurrence. Where practical, sites where serious injuries occur must be isolated by means of a "Tape Fence" and no person shall enter this area without authorisation from the Chief Executive Officer.

Injury reports must be completed as soon as possible by person/s involved and given to the relevant supervisor/manager for comment. The supervisor/manager must then deliver the completed report to the Director and the Chief Executive Officer.

The injury reporting procedure is as follows and must be strictly adhered:

• Employee must advise Supervisor/Manager as soon as possible after the accident.

• Employee must complete a Workers Compensation Claim Form 2B and give it to Supervisor/Manager as soon as practicable.

• Employee must complete a Accident/Incident Report and give to Supervisor/Manager

• Employee must accompany their Supervisor/Manager to accident site and assist with the investigation.

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Page 3 of 6 F

FLLOOWWCCHHAARRTTFFOORRRREEPPOORRTTIINNGGAACCCCIIDDEENNTTSS//IINNCCIIDDEENNTTSS

ALL RELEVANT PAPERWORK AND REPORTS TO BE COMPLETED WITHIN 24 HOURS OF ACCIDENT/INCIDENT

Originals to be submitted to the Manager Human Resources immediately

REPORTS SIGHTED AND SIGNED BY THE

SUPERVISOR/MANAGER WITHIN 48 HOURS OF THE ACCIDENT/INCIDENT

Corrective measures to be taken where necessary

REPORTS SIGHTED AND SIGNED BY THE

CEO WITHIN 48 HOURS OF THE ACCIDENT/INCIDENT

Corrective measures to be taken where necessary

INITIAL CLAIMS PAPERWORK PROCESSED BY HUMAN

RESOURCES/PAYROLLWITHIN 5DAYS

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SURNAME OF EMPLOYEE GIVEN NAMES

OCCUPATION LOCATION

DEPARTMENT & TOWN SUPERVISOR

DATE & TIME OF INCIDENT TIME & DATE REPORTED

SURNAME OF WITNESS GIVEN NAMES

1. Name Streets.

2. Show direction of vehicles etc. N

3. Show distances involved.

4. Show positions of all vehicles,pedestrians, equipment, objects etc involved in the incident. 5. Show road signs, power poles and any other items of significance.

W E

ACCIDENT/INCIDENT REPORT

INJURY DAMAGE NEAR MISS

LOST TIME

MINOR SERIOUS MAJOR

An original of this form must be submitted to your Divisional Manager within 48 hrs of the accident/incident.

Ensure a copy is given to the Payroll/Insurance Officer.

DIAGRAM

ACCIDENT/INCIDENT TYPE (Please tick)

ACCIDENT/INCIDENT SEVERITY (Please tick)

ACCIDENT/INCIDENT DESCRIPTION - Attach additional details if required

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Page 5 of 6

ACTION: BY WHOM: ACTION DATE:

INSURANCE CLAIM FORM COMPLETED NOT REQUIRED

SIGNATURE: DATE: WITNESS ACCOUNT - Attach additional details if required

SUPERVISOR'S COMMENTS - Attach additional comments if required

SIGNATURE: DATE:

DIVISIONAL MANAGER'S COMMENTS - Attach additional comments if required

SIGNATURE: DATE:

CEO'S COMMENTS - Attach additional comments if required

SIGNATURE: DATE:

(6)

The Manager Human Resources must report to WorkSafe Western Australia Commissioner any of the following;

• a fracture of the skull, spine or pelvis;

• a fracture of any bone –

- the arm, other than in the wrist or hand;

- the leg, other than a bone in the ankle or foot;

• an amputation of an arm, a hand, finger joint, leg, foot, toe or toe joint;

• the loss of sight of an eye;

• any injury other than the above which, in the opinion of a medical practitioner, is likely to prevent the employee from being able to work within 10 days of the day on which the injury occurred.

Workers Compensation Claim Forms 2B are available from supervisors/managers on request or from the Manager Human Resources.

3. DAMAGE TO PLANT/MACHINERY

Damage to any vehicle, plant, machinery or any City owned item must be reported immediately after the incident. The damage reporting procedure is as follows and must be strictly adhered.

The employee shall:

• Ensure the item is stopped immediately.

• Check if any personal injuries have occurred.

• If personal injury has occurred get help immediately.

• Establish whether vehicle/machine can be driven safely back to depot.

• If vehicle/machine is not driveable, contact Supervisor/Leading Hand.

• Upon arrival back at the depot, advise Supervisor immediately.

• Place "Do not Operate" tag in most obvious position if item is rendered defective.

• Place in ‘No Go Bay’ relevant to that item.

• Advise Depot Controller.

• Complete an Accident/Incident Report (if required). The Supervisor shall:

• Investigate incident within 24 hrs.

References

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