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Health and Safety

Executive

Health and Safety at Work etc Act 1974

The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013

Report of a dangerous occurrence

 

This form is for duty-holders only to report defined Dangerous Occurrences under RIDDOR. It is not for making a complaint about or reporting a workplace issue. Advice on this is available on the HSE website.

 

About you and your organisation

(eg building name)

(eg street)

(eg district)

*Did the incident happen at the above address?

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Health and Safety

Executive

Report of a dangerous occurrence

About where the dangerous occurrence happened

*Where did the incident happen?

(eg building name)

(eg street)

(eg district)

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HSE Logo

Health and Safety

Executive

Report of a dangerous occurrence

About the dangerous occurrence

(24 hr clock)

In which local authority did the incident occur?

Please refer to the help for guidance on the local authority

What type of work was being carried out (generally the main business activity of the site)?

*Type of dangerous occurrence

Please check your email address below. Ensure that you change if incorrect as this is the email address that your acknowledgement and a copy of the form will be sent to.

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