CCCFR work health and safety incident form

If you have trouble accessing this document, please contact us to request a copy in a format you can use.

Services that get a Community Child Care Fund Restricted (CCCFR) grant can use this form to report a work health and safety (WHS) incident.

You must also report the incident to WHS authorities. For more information, check reporting incidents if you get a CCCFR grant.

If you need help, contact your CCCFR program officer or email CCCFRestricted@education.gov.au.

If your service does not get a CCCFR grant, do not use this form. Refer to your state or territory regulatory authority for reporting requirements.

4292 CCCFR WHS Incident Notification Form_ACC.pdf
Creation Date
Modified date
File Reference
ESE21/535-1
Creator
Department of Education
Publisher
Department of Education
Language
English / Australian English
Coverage
Australia

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