Incident Report

A clear, calm incident report with reportable-incident pathway, worker–supervisor pre-classification, and a separate lessons-learned section.

Use this whenever something goes wrong — or nearly goes wrong — involving a participant. Walks you through facts, immediate response, reportability classification, notifications, investigation, corrective actions and lessons learned.

Includes a worker → supervisor pre-classification step (workers don't self-determine reportability — that's a supervisor call). Specific notification fields for NDIS Commission, Public Guardian/OPGT, Police, AHPRA, Worker Screening Unit and WorkSafe. A separate 'reason for delay' field if a 24-hour notification was missed.

Critically, includes a Lessons Learned section distinct from Corrective Actions — the difference auditors care most about.

What's included

• 12-page incident report (editable .docx)
• Factual narrative section
• Worker → Supervisor pre-classification step
• Reportable incident classification checklist
• 5 external notification fields (NDIS Commission, OPGT, Police, AHPRA, WorkSafe)
• Investigation and corrective actions section
• Separate Lessons Learned section
• Participant Voice section
• Practice Standards reference (Incident Management)

FAQs

Q. Is this the form workers fill in, or the supervisor?
A. Both. Workers fill in sections 1–3. Supervisor reviews and classifies in section 4. This is the key auditor finding most templates miss.

Q. Does this replace NDIS Commission notification?
A. No — this is the INTERNAL record. NDIS Commission notification is done via their portal. This form prompts you to do both.

Q. Editable?
A. Yes, Word .docx.

Q. Affiliated with NDIS Commission?
A. No. Independent.

Q. Refund policy?
A. Non-refundable once accessed.

Format: Single .docx (12 pages, 9 sections)

Template by Northform Health. Not legal, regulatory or clinical advice. Not affiliated with the NDIS Quality and Safeguards Commission. Single-user licence. Digital downloads are non-refundable once accessed.