This MADEC PALMS Incident Report template helps teams record and manage workplace incidents in agricultural settings. Log incident date, location and preparer, describe the nature of the event, and indicate if it is a workplace incident, WorkCover claim, or performance issue. Capture worker details, actions taken, days off, and nationality. Document initial incident details, injuries, treatment provided, and any impact on ability to work. Track updates, note involvement of alcohol or drugs, hospitalisation, or charges, and record communications with external organisations including contacts and phone numbers.
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