Incident Report To be completed within 12 hours of the incident/accident occurring by witnesses or people involved in incident. Table of Contents Incident detailsParticipant Participant – add valid NDIS number: Valid NDIS NumberStaff member Staff member Other Other OtherDate Of Incident MM slash DD slash YYYY Time Of Incident Hours : Minutes AM PM AM/PM Injured Person’s NameIncident locationName of person reporting the incidentContact detailsPhoneEmail Witness details Name of witnessPhoneEmail Witness’ description of the incidentDescriptionsDescription of the Incident (participant/staff) / Identify who provided information (for future investigation)Actions taken by our organisation (e.g. first aid, ambulance called, support to person)Actions taken by our organisation (e.g. first aid, ambulance called, support to person)