Forms and templates

DocumentWhen to use it
First Alert TemplateTo be used for initial alert
Safety Alert TemplateTo be used once investigation is complete and learnings can be notified
Five Whys template 

Service Providers may use their own investigation template. 

The Five Whys incident report template may be used to record the investigation into Level 4 incidents. Please refer to TP.SS 01.01 for more information.

Short form ICAM 

Service Providers may use their own investigation template. 

This short-form ICAM (Incident Cause Analysis Method) template follows the ICAM methodology and may be used to record findings regarding the contributory factors of medium severity incidents and near misses. Please refer to TP.SS 01.01 for more information.

Full ICAM Report template 

Service Providers may use their own investigation template. 

Comprehensive investigations are required for Level 1 and 2 incidents. This is a full investigation and this template may be used to produce a comprehensive report. Please refer to TP.SS 01.01 for more information.

Monthly Safety Incident Report TemplateAll safety incidents are to be reported to Transpower by the fifth working day of the following month. This document includes forms to record Hours Worked, Lost Time Injury Summary Data, Positive Action Summary Data and Public Safety Incident/Hazard Summary Data.
Worksite Safety PlanSafety plan when working on site.
Emergency Response Plan FlipchartThis document contains layout diagrams, emergency contact lists, information on emergency response and first aid procedures for the Hazardous Substances that would be found at a Transpower site.