Incident Report
For use by Strengths Network Coaches. Please complete the report within 24 hours of the event.
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Privacy of Information
The information collected for health and safety incidents is for the express purpose of enabling an appropriate response to the incident. This information is not to be shared for any other purpose accept with the express approval from the person involved.
Coach Scope of Responsibility
I understand that I am sharing this information as a requirement of the Network. I understand it is my responsibility to contact the relevant emergency services, social services or appropriate family member as required.

Actions
First:
Protect your health and safety;
Protect your client's health and safety;
Protect the health and safety of others.

Contact:
Emergency services, social services (contact details here: https://mentalhealth.org.nz/helplines), or an appropriate family member or support person.

Submit:
Incident Report to Strengths Network.

References
Health and Safety at Work Act, 2015 (WorkSafe)
CYS/Strengths Network Health and Safety Policy
Privacy Act 2020 | Principle 11 – Disclosure of personal information
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