---
sourceDocument: Australia Employee Service Management
sourceDocumentLink: https://servicenow-prod.fluidtopics.net/r/employee-service-management

 Release :

    - australia

ft:locale :

    - en-US

ft:publication_title :

    - Australia Employee Service Management

ft:clusterId :

    - emplsm

bundleId :

    - emplsm

workflow :

    - Employee


---

# Safety incident form

# Health and safety incident form {#ariaid-title1}

Release version: Australia  
Updated June 3, 2026  
![](https://www.servicenow.com/docs/portal-asset/ico-clock) 1 minute to read  
Safety managers and safety agents can use the Health and Safety incident form to create an incident record or to work on a safety incident.
For more information, see [Work on a safety incident](https://servicenow-prod.fluidtopics.net/kcr6v1YQyJJaz2DYG7yL9g "Work on a safety incident assigned to you to collect incident information, ensure that any outstanding tasks are completed, and resolve the incident.").
{#hs-incident-form__table_ewt_lzy_ljc__entry__2}

| Field | Description |
|-|-|
| Number | System-generated unique number for the incident. |
| Occurred on | Date and time of the incident, displayed in the viewer's local time zone. |
| Occurred on (local) | Date and time of the incident, displayed in the time zone of the user who reported it. |
| Sensitive content | Option that indicates that the incident contains sensitive information. Only a user with the Sensitive content user role can view a report marked as sensitive. For more information on roles, see [Components installed with Health and Safety Incident Management](https://servicenow-prod.fluidtopics.net/Ysjdrn59vSJukwNJs2svQQ "Several types of components are installed with installation of the Health and Safety Incident Management application, including tables, user roles, and scheduled jobs. The application also installs related plugins and store applications if they aren’t already installed."). Note: If you select this option without the sensitive content user role while creating the record, you will not be able to view the record after saving. |
| Watch list | Users notified of updates to the incident record. |
| Assignment group | User group responsible for managing this incident. |
| Category | Classification of the incident type. |
| State | Status of the incident. |
| Severity | Level of impact or seriousness of the incident. |
| Service | Service associated with the incident. |
| Opened by | User who created the incident record. |
| Assigned to | User assigned to this case. |
| Closed in the field | Option that indicates the incident was resolved on-site. |
| Short description | Brief description of the incident |
[Table 1. Enter incident summary form]

{#hs-incident-form__table_ewt_lzy_ljc}