Shopping CartYour Cart is EmptyQuantity: RemoveSubtotalTaxesShippingTotalThere was an error with PayPalClick here to try againThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart Lamb of God New Zealand Toggle NavigationHome Contact Tracing Lamb of God Hazard Register Incident or Accident Report Training Register - H and S MoreChevronMusic and Lead SheetsSummer Oasis 2019 MusicMen's Conference New SongHome Contact Tracing Lamb of God Hazard Register Incident or Accident Report Training Register - H and S MoreChevronMusic and Lead SheetsSummer Oasis 2019 MusicMen's Conference New Song Incident or Accident Report - Lamb of God Community Type of Report*Incident ReportMinor Accident ReportSerious Injury ReportFatal Accident ReportName, sex, and birthdate of the person injured*Address and mobile number of the person injured*Occupation of the person injured*The person injured is a*Fall, trip or slipHeat, radiation or energyElectricalHitting Objects with part of the bodyBiological FactorsChemicals or other substancesBeing hit by moving objectsMental StressotherTreatment of Injury*None/no injuryFirst aidAmbulanceHospitalizationTime, date, and exact location of accident*Mechanism of the accident*Fall, trip or slipHeat, radiation or energyElectricalHitting Objects with part of the bodyBiological FactorsChemicals or other substancesBeing hit by moving objectsMental StressOtherAgency of the accdeint*MachineryTransportPowered Equipment or toolNon-powered toolChemical or chemical productsMaterial or substanceEnvironmental exposureAnimal, Human or Biological agencyBacteria or VirusOtherBody part involved in the injury*NoneHeadNeckTruckUpper LimbLower LimbMultiple locationsInternal organ/sNature of injury*No injuryFracture of spineOther fractureDislocationStrain or strainHead injuryInternal injury of trunkAmputation, including eyeOpen WoundSuperficial injuryBruising or crushingForeign objectBurnsNerves or spinal chordPuncture woundPoisoning or toxic effectsMultiple injuriesDiseasemental disorderFatalityWhere did the accident happen?*How did the incident happen?*What type of treatment was administered, and by whom? Please include the first aider, doctor and hospital details.*Has an investigation been carried out?*YesNoWas a significant hazard involved?*YesNoPlease give more information about the hazard [if any]*What actions should be taken to prevent another incident/accident from occurring again? *How likely is the incident/accident to happen again? [Never? Rarely? Occasionally? Quite likely?]*Any other comments?*Name of person reporting*Date YY/MM/DD*Mobile or phone number*Email Address*Lamb of God Branch*This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.Send MessageThank you for filling the hazard register. We will contact you if needed. God bless! / PreviousNextPausePlayClose
