NDIS Incident Report
Template current as of July 2026. Provided by Lion Med Supplies as general information, not advice. Registered providers have separate obligations to record and, for some incidents, notify the NDIS Commission - check the Commission's reportable incidents rules for what applies to you.
Record what happened as soon as possible while the detail is fresh. Stick to facts and what you observed.
People and place
Participant name	 	
Provider / service	 	
Worker completing this report	 	
Date and time of the incident	 	
Location	 	
What happened
Describe the incident in plain, factual terms - what led up to it, what occurred, and what was said or done:
________________________________________________ ________________________________________________ ________________________________________________
Who was involved
People involved and any witnesses (names and roles):
________________________________________________
Harm or injury
Describe any injury, harm, or distress, and any first aid or medical care given:
________________________________________________
Immediate action taken
What you did straight away to keep the participant and others safe:
________________________________________________
Who was notified
Notified	Name	Date and time	
Manager / supervisor	 	 	
Participant's family / nominee	 	 	
Emergency services (if needed)	 	 	
Other	 	 	
Follow-up
Actions to prevent a repeat, and who is responsible:
________________________________________________
Sign-off
Reported by	 	Date	 	
Reviewed by (manager)	 	Date	 	

For registered providers: the NDIS Quality and Safeguards Commission sets the rules for incident management and reportable incidents. Confirm your obligations at ndiscommission.gov.au.