The Incident Notification Form is a crucial document designed to meet regulatory requirements in England and Wales while providing a structured approach to incident reporting. It enables organizations to comply with various legislative requirements including RIDDOR 2013, the Health and Safety at Work Act 1974, and the Data Protection Act 2018. The form should be completed as soon as possible after an incident occurs, capturing detailed information about the event, affected parties, and immediate actions taken. This documentation is essential for risk management, legal compliance, and implementing preventive measures.
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1. Incident Details: Date, time, location, and type of incident
2. Reporter Information: Name and contact details of person reporting the incident
3. Incident Description: Detailed account of what occurred, including sequence of events
4. Immediate Actions Taken: Steps taken immediately following the incident to contain or address the situation
5. Affected Parties: Details of individuals, assets, or systems affected by the incident
1. Witness Information: Contact details and statements from witnesses, when witnesses were present during the incident
2. Environmental Impact: Assessment of environmental effects, required for incidents involving environmental damage or risks
3. Data Breach Details: Specific information about compromised data, required for cyber security or data protection incidents
4. Financial Impact: Documentation of financial losses or costs, included when incident has monetary implications
1. Incident Photos: Visual documentation of the incident scene, damage, or relevant evidence
2. Supporting Documents: Related documentation, reports, certificates, or other evidence relevant to the incident
3. Risk Assessment: Detailed assessment of incident impact and likelihood of recurrence
4. Action Plan: Comprehensive plan outlining preventive measures and future actions to prevent similar incidents
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