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Incident Notification Form Template for Hong Kong

A comprehensive incident notification document designed for use in Hong Kong, compliant with local regulations including the Occupational Safety and Health Ordinance and Personal Data (Privacy) Ordinance. This form serves as an official record of incidents, accidents, or significant events requiring documentation and potential follow-up action. It captures essential information about the incident, involved parties, immediate responses, and necessary follow-up actions while ensuring compliance with Hong Kong's legal requirements for incident reporting and data protection.

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What is a Incident Notification Form?

The Incident Notification Form is a crucial document used to record and report various types of incidents occurring within organizations operating in Hong Kong. This standardized form ensures compliance with Hong Kong's regulatory requirements, including the Occupational Safety and Health Ordinance, Personal Data (Privacy) Ordinance, and other relevant legislation. The form is designed to capture comprehensive information about incidents ranging from workplace accidents to security breaches, enabling proper documentation, investigation, and follow-up actions. It serves as an essential tool for risk management, legal compliance, and organizational safety protocols, while also providing a standardized method for reporting incidents to relevant authorities when required.

What sections should be included in a Incident Notification Form?

1. Incident Reference Information: Basic identifiers including form number, date/time of report submission, and who is completing the form

2. Incident Overview: Key details including date, time, location, and type of incident

3. Affected Parties: Information about all individuals involved in or affected by the incident, including contact details and role

4. Incident Details: Detailed description of what happened, including sequence of events and immediate actions taken

5. Witness Information: Details of any witnesses to the incident, including contact information

6. Impact Assessment: Description of any injuries, property damage, or other immediate consequences

7. Initial Response: Actions taken immediately following the incident, including emergency responses and notifications made

8. Declaration: Signature section confirming the accuracy of information provided, with date and name of person completing the form

What sections are optional to include in a Incident Notification Form?

1. Environmental Impact: For incidents involving environmental hazards or spillages

2. Equipment/Machinery Involved: For incidents involving mechanical or technical failures

3. Security Breach Details: For incidents involving security violations or unauthorized access

4. Data Privacy Impact: For incidents involving personal data or information security breaches

5. Medical Response Details: For incidents requiring medical attention or first aid

6. External Authority Notification: For incidents requiring notification to police, fire services, or other authorities

What schedules should be included in a Incident Notification Form?

1. Incident Scene Photographs: Attachment section for relevant photographs or visual evidence

2. Supporting Documents: Attachment section for any relevant documentation such as medical certificates or police reports

3. Incident Location Map/Floor Plan: Diagram showing where the incident occurred

4. Witness Statements: Detailed written accounts from witnesses, to be attached separately

5. Risk Assessment Form: Post-incident risk assessment documentation

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Hong Kong

Cost

Free to use

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