Report a Hazard

2018-03-07 17:11:06

Please complete the form below


  • Hazard Description

  • Date Format: DD slash MM slash YYYY

  • Location


  • Your Details

Please complete the form below

  • When you were initially contacted by Workplace Central after your incident/injury, how well did we introduce ourselves and our role in your rehabilitation?
  • Did your Workplace Central rehabilitation co-ordinator arrange a mutually convenient time (either face-to-face or via telephone) to discuss your injury, needs and goals for your recovery?
  • How well did Workplace Central’s rehabilitation co-ordinator maintain regular contact with you, your host employer, your medical practitioner and any other interested parties as nominated by you?
  • Did Workplace Central’s rehabilitation co-ordinator attend adequate worksite visits to understand your work requirements?
  • Rate the appropriateness of your return to work program in terms of it being graduated to meet your ongoing needs.
  • Rate the ongoing appropriateness of the communication from Workplace Central’s rehabilitation co-ordinator?
  • How well did Workplace Central’s rehabilitation co-ordinator explain available options to assist your return to work?
  • How would you rate the overall outcome of your workplace rehabilitation?
  • How would you rate the overall performance of Workplace Central’s rehabilitation co-ordinator?

  • Your Information will not be shared with your host employer.
    The information you provide below will be only used by Workplace Central