top of page
Home
About Us
Student Support
How We Support Students →
How We Can Support You
Support Type Options
Disabled Students' Allowance (DSA) →
Arrange My DSA Support
What is Disabled Students' Allowance?
Request Onyx as a NMH Provider
What Students Say →
DSA Frequently Asked Questions
Student Support Feedback
Rates and Capacity →
NMH Rates and Capacity
Other Funding Options →
University Funded Support
Workplace Support
How We Support in the Workplace →
How We Support In The Workplace
Workplace Support Options
Access to Work (AtW) →
Arrange My AtW Support
What is Access to Work (AtW)?
Request Onyx as a Support Provider
What Employees Say →
AtW Frequently Asked Questions
Workplace Support Feedback
Rates and Capacity →
Rates and Capacity
Apprenticeship Support
How We Support Apprentices →
How We Support Apprentices
Learner Support Fund (LSF) →
Arrange My LSF Support
What is Learner Support Fund (LSF)?
Request Onyx as a LSF Pro...
What Apprentices Say →
LSF Frequently Asked Questions
Apprentice Feedback
Rates and Capacity →
Rates and Capacity
CPD Training
CPD Training
Training Packages
Staff Resources
Training and Policies →
Mandatory Training
Policies and Procedures
Electronic Note Taking VI/HI Level 3
ADHD and Autism Training
Important Information →
Master Documents
Assistive Technology Trainers
Academic Support Workers
Note Takers
Specialist Mentors
Study Skills Tutors
University Information
Evidence CPD
Request a Supervision
Suggestions Box
Projects
Jobs
Apply Now
For Referees
More
Resources
HEP Feedback
Report a Safeguarding Concern
Report a Data Breach
Incident and Near Miss Reporting
Charter for Non-Medical Help Providers
Feedback
Blog
World of Education
Feedback Form
Contact
Incident and Near Miss Reporting
Date and time of incident
*
Day
Month
Year
Time
:
Hours
Minutes
Location (site/room/online setting)
*
Name(s) of people involved
*
Email
*
Type of Event
*
Accident
Injury
Illness
Near Miss
Property Damage
Other
Provide a clear, factual description of the incident or near miss
*
Immediate Actions Taken
*
First aid given
Emergency services called
Equipment isolated/area made safe
Supervisor/manager notified
Other
Details of actions taken (e.g. who provided first aid or time emergency services were called)
*
Approximate number of individuals affected
*
What do you think caused the incident or near miss?
*
What steps have been or will be taken to prevent recurrence?
*
If witnesses, please enter contact details
Witness statement taken?
Signature
*
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Submit
bottom of page