Hazard Incident Report Form Template for Malaysia

1. Environmental Impact: Details of any environmental effects or concerns, used when incident involves spills or emissions

2. Equipment/Machinery Involved: Specific details about equipment or machinery involved in the incident, used when applicable

3. Chemical Exposure: Information about chemical substances involved, including SDS references, used for chemical-related incidents

4. Property Damage Assessment: Details of damage to property or assets, used when physical damage occurs

5. External Agency Notification: Details of notifications to authorities, used when incident requires reporting to regulatory bodies

6. Media/Public Relations: Communication management details, used for significant incidents with public impact

1. Appendix A - Incident Scene Photographs: Photographic documentation of the incident scene and any visible damage

2. Appendix B - Witness Statements: Detailed statements from witnesses, using standard witness statement forms

3. Appendix C - Medical Reports: Copies of relevant medical reports or first aid records

4. Appendix D - Risk Assessment Matrix: Standard risk assessment tool for evaluating incident severity and likelihood

5. Appendix E - Equipment/Machinery Documentation: Relevant maintenance records, operation logs, or certification documents

6. Appendix F - Incident Location Map: Site plan or map marking the exact location of the incident