WorkCover Victoria Workplace Injury Notification Form
About this free form template

When a workplace injury occurs in Victoria, timely and accurate reporting to WorkCover Victoria is essential for compliance and to ensure injured workers receive the support they need. This WorkCover Victoria Workplace Injury Notification Form streamlines the entire reporting process, helping employers meet their legal obligations while capturing all the critical details in one place.

Designed specifically for Victorian businesses, this template collects comprehensive incident information including the nature of the injury, circumstances surrounding the event, witness accounts, and medical documentation. The form guides you through each required field—from employee and employer details to incident location, injury description, and immediate actions taken—ensuring nothing is overlooked.

With conditional logic built in, the form adapts based on injury severity and incident type, showing relevant follow-up questions automatically. Upload medical certificates, photos of the incident scene, and supporting documents directly within the form, keeping all evidence organised and accessible for WorkCover claims processing.

Paperform's secure platform ensures all sensitive employee and medical information is handled with care, while integrations with tools like Google Drive, Slack, and email notifications keep your HR and safety teams informed immediately. You can even connect submissions to your existing case management systems using Stepper workflows to automatically create incident records, assign follow-up tasks, and track claim progress without manual data entry.

Whether you're a construction company, manufacturing facility, healthcare provider, or office environment, this template helps you respond quickly to workplace incidents, demonstrate duty of care, and maintain compliance with Victorian workplace health and safety regulations. Clear, professional, and easy to complete by managers or supervisors on-site, this form takes the stress out of injury reporting when it matters most.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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