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AU WorkSafe Form FOR635 - Victoria 2020-2025 free printable template

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Identification form 100 point ID check Part 1 Applicant Title Family name All given names Date of birth Home address Postcode Postal address Postcode Home phone AH Work phone BH Mobile Email Part 2 Evidence of identity documents refer to instructions in Part 4 Applicant to complete details. Authorised verifier to sight original documents. Category A 70 Points you may use only ONE Category A document Place and country of issue Expiry date Document number or reference Passport current or...
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How to fill out AU WorkSafe Form FOR635 - Victoria

01
Obtain the AU WorkSafe Form FOR635 from the WorkSafe Victoria website or your workplace safety representative.
02
Read the instructions on the first page of the form carefully.
03
Fill in your personal details, including your name, address, and contact information.
04
Provide details of the incident, including the date, time, location, and a description of what happened.
05
Include information about any injuries sustained or harm caused.
06
Mention any witnesses to the incident and their contact details if available.
07
Complete the section regarding any treatments or medical attention received as a result of the incident.
08
Review the form for accuracy and completeness.
09
Sign and date the form at the designated area.
10
Submit the completed form to your employer or directly to WorkSafe Victoria as required.

Who needs AU WorkSafe Form FOR635 - Victoria?

01
Workers who have been injured or harmed due to a workplace incident in Victoria.
02
Employers who need to document workplace incidents for insurance and compliance purposes.
03
Health and safety representatives who are assisting employees with incident reporting.
04
Any other stakeholders involved in workplace health and safety who need to keep records of incidents.
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AU WorkSafe Form FOR635 is a notification form used in Victoria, Australia, for reporting certain incidents or injuries in the workplace to the workplace safety regulatory authority.
Employers are required to file AU WorkSafe Form FOR635 when a serious workplace incident or injury occurs, as part of their legal obligations under the Occupational Health and Safety Act.
To fill out AU WorkSafe Form FOR635, employers must provide details including the date, time and location of the incident, the nature of the injury or incident, the details of the affected worker, and any immediate action taken.
The purpose of AU WorkSafe Form FOR635 is to ensure timely and accurate reporting of workplace incidents, allowing for proper investigation and improvement of workplace safety practices.
The information that must be reported includes incident details, nature of the injury, worker details, any witnesses, and the measures taken after the incident such as first aid or reporting to authorities.
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