Report incident/near misses form

Please use this form to report all work-related injuries, diseases, ill health, vehicle accidents or damage, and near miss incidents. This form should be completed as soon as possible after the incident. If the affected person cannot complete the form, it should be completed on their behalf by someone else within the same company.  

Once the form has been submitted it will be received by the Gattaca Health & Safety officer who may be in contact for further information.

By submitting your information, you are agreeing to our privacy statement. To find out more about how we use and manage data, please click here