Hazard Report Form - Section One

Please complete the form below. A copy will be sent to your email address to be forwarded to your direct supervisor for completion of Section Two.  A copy of this report will also be emailed to safety@swek.wa.gov.au immediately after completion. If you have any questions, please contact safety@swek.wa.gov.au or call 08 9168 4100 and ask for Stephen or Ian. 

Section one

This section is to be completed by person report the hazard

Employment type*This field is required.
Potential hazard impact*This field is required.

 
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