The official website for the States of Guernsey

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weather iconMainly cloudy. Some bright or sunny periods likely for a time this afternoon and early evening.
High19°CLow16°C
5 day forecastTide timetables
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Report an accident (online form)

Please use this form to report an accident, incident or ill-health at work. This information is required by law.

  1. All sections of the form must be completed unless specified.
  2. This information is required under Section 9 of the Health and Safety at Work (General) (Guernsey) Ordinance, 1987. Completing this form does not constitute an admission of liability of any kind, either by the person making the report or any other person.
  3. If more than one person was injured as a result of an accident, please complete a separate report for each person.
  4. A - What are you reporting?
  5. HSE must be notified immediately of fatalities, major specified injuries and dangerous occurrences by phone on 01481 234567 or email hse@gov.gg. Out of office hours, Guernsey Police must be informed on 01481 725111.
  6. If HSE was advised of this incident
    4. How was HSE advised of incident
  7. B - Information about the employer or responsible person
    1. This form must be completed in full by the employer or responsible person (as is required by law).
  8. C - Date, time and place of incident
  9. If you are reporting a dangerous occurrence, please continue to section G.
  10. D - The person injured or affected by the disease
    3. Status
    5. Gender
  11. If you are reporting a disease, please continue to section G.
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