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Have you had an injury at work? 

Well, this is the right place to initially report it. Please find in this form to the best of your knowledge and submit it to us. This process usually take only 5 to 8 minutes. Thank you. 

IMPORTANT NOTES: 

1. Reporting through this system may not be immediate. Please phone your manager to report verbally.
2. This report excludes notification to WorkSafe New Zealand. Please ensure that WorkSafe is notified of this event, if necessary.   

only if needed. 

We support your business by relaying information that is reported here to your management team. Much of this reporting is anonymous so that you feel more comfortable reporting; however, some information is essential. Please complete this form as best you can and submit it to us. Thank you. 

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Why do we need this? Well, we help many businesses, so we know which business to contact. 

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14:30
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Where was the person injured. (Select all that are applicable)
What type of Injury was it?
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After witnessing this incident, would you or any other person on site need support? Required
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Please take the time to ensure that you have given us all the required details and then click "submit" 

Thank you for taking the time to report this incident. It is great appreciated. Please reach out if you need any assistance.

Is there anything else you'd like to do? 

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