Te Puke War Memorial Hall

HEALTH & SAFETY REPORTING

Health & Safety Report

Must be completed for accident, injuries, incidents, near misses or hazards.

Health & Safety Report

Please use this form to report an accident or injury, incident or near miss, or hazard at the Te Puke War Memorial Hall.

Reporting health and safety concerns helps us identify and address risks and maintain a safe venue for everyone.

Your details


When & Where

Please be as specific as possible.


Tell Us What Happened

Include as much detail as possible.


If Someone Was Injured

Complete this section only if an injury occurred.


Additional Information

Please provide any further details if known.


Thank you for reporting this. Hall Management will review the information provided and take any follow-up action required.

For urgent hazards or safety concerns, please contact Hall Management directly rather than relying solely on this form. In an emergency, call 111.