Templates & Forms · For providers

NDIS Incident Report Template

A clear structure for recording an incident factually and fast.

ProvidersSupport workers

An incident report is the factual record of something that went wrong during support: who was involved, what happened, and what was done. Writing it soon after the event, in plain language, is what makes it useful later.

Registered providers also have obligations to manage incidents and, for some, to notify the NDIS Quality and Safeguards Commission. This template helps you capture the detail; the Commission sets what must be reported and when.

Download

Current as of July 2026

Free to download and use. Fill in the blanks, and remove any lines that do not apply to you.

What a good incident record captures

These fields cover the who, what, when, and what-next of an incident. They are a record-keeping structure, not a substitute for your organisation policy or the Commission rules.

  • Participant name and the provider or service
  • The worker completing the report
  • Date, time, and location of the incident
  • A factual description of what happened
  • People involved and any witnesses
  • Any injury, harm, or distress, and care given
  • Immediate action taken to keep people safe
  • Who was notified, and when
  • Follow-up actions to prevent a repeat, and who is responsible
  • Sign-off from the worker and a manager review

How to use it

Support workers

Stick to what you saw and did. Avoid guessing at causes or motives; record the facts and pass the report to your supervisor promptly. If anyone was hurt, note the care given and who you told.

Provider managers

Use the report as the start of your incident management process. Check whether the event meets the Commission definition of a reportable incident, record your review, and track the follow-up actions to completion.

Questions people ask

What counts as a reportable incident?

The NDIS Quality and Safeguards Commission defines which incidents registered providers must report, and the timeframes for doing so. This template records the detail of any incident; check the Commission rules to work out whether a particular event also needs to be notified to them.

How soon should an incident report be written?

As soon as it is safe to do so, while the detail is fresh. Early, factual notes are more reliable than a reconstruction days later. Record what you saw and did, pass it to your supervisor, and add any follow-up as it happens rather than waiting for a full picture.

Who can see an incident report?

Keep it secure and share it only with the people who need it: your supervisor, the participant and their nominee where appropriate, and the Commission if the incident is reportable. Keep the participant information in it private, and store it in line with your privacy obligations.

Official sources

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