Safety Alert

Title: Insert an event title.

General information

Event date: Select a date.	Company name: (optional)

Event location: (optional)	Contact details: (optional)

Event	Event mechanism	Contributing factor
Type of event: Type of injury / illness: Person harmed: Specify the number of persons harmed and their occupation. Is this a notifiable event?
Back to Basics
Does the incident involve the breach of any of the following non-negotiable requirements?
Harm exposure
Did the incident result in significant harm, or could have reasonably resulted in significant harm?

Event description

Nature of work activity / Matters or behaviours observed: Describe the operations that were being performed when the incident happened. For other safety observations, describe the matters or behaviours raising concern.

Mechanism description of event / hazard / behaviour / equipment or asset failure: Describe the chronology of actions that led to the event, including if relevant the immediate cause of harm and any contributing factors. For safety observations, describe the mechanism that led to the observed hazard, behaviour or asset failure.

Actions taken

Immediate response: Describe the actions performed immediately after the incident occurred or after the issue was identified.

Further actions: Describe any further actions performed or to be performed following the incident or identification of the safety issue.

Lessons and recommendations

Key findings: Describe any findings from the investigation.

Key recommendations: Share key recommendations to the wider electricity supply industry.

SM-EI reference: Specify, if applicable.