---
title: Health and safety incident form
description: 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.
locale: en-US
canonical_url: https://www.servicenow.com/docs/r/australia/employee-service-management/health-and-safety-incident-management/hs-incident-form.html
release: australia
product: Health and Safety Incident Management
classification: health-and-safety-incident-management
topic_type: reference
last_updated: "2026-06-03"
reading_time_minutes: 1
breadcrumb: [Reference, Health and Safety Incident Management, Health and Safety, Employee Service Management]
---

# Health and safety incident form

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://raw.githubusercontent.com/ServiceNow/ServiceNowDocs/australia/markdown/australia/employee-service-management/health-and-safety-incident-management/work-hs-incident-observation.md).

<table id="table_ewt_lzy_ljc"><thead><tr><th>

Field

</th><th>

Description

</th></tr></thead><tbody><tr><td>

Number

</td><td>

System-generated unique number for the incident.

</td></tr><tr><td>

Occurred on

</td><td>

Date and time of the incident, displayed in the viewer's local time zone.

</td></tr><tr><td>

Occurred on \(local\)

</td><td>

Date and time of the incident, displayed in the time zone of the user who reported it.

</td></tr><tr><td>

Sensitive content

</td><td>

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://raw.githubusercontent.com/ServiceNow/ServiceNowDocs/australia/markdown/australia/employee-service-management/health-and-safety-incident-management/components-installed-with-hs-incident-mgmt.md).

**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.

</td></tr><tr><td>

Watch list

</td><td>

Users notified of updates to the incident record.

</td></tr><tr><td>

Assignment group

</td><td>

User group responsible for managing this incident.

</td></tr><tr><td>

Category

</td><td>

Classification of the incident type.

</td></tr><tr><td>

State

</td><td>

Status of the incident.

</td></tr><tr><td>

Severity

</td><td>

Level of impact or seriousness of the incident.

</td></tr><tr><td>

Service

</td><td>

Service associated with the incident.

</td></tr><tr><td>

Opened by

</td><td>

User who created the incident record.

</td></tr><tr><td>

Assigned to

</td><td>

User assigned to this case.

</td></tr><tr><td>

Closed in the field

</td><td>

Option that indicates the incident was resolved on-site.

</td></tr><tr><td>

Short description

</td><td>

Brief description of the incident

</td></tr></tbody>
</table>**Parent Topic:**[Health and Safety Incident Management reference](https://raw.githubusercontent.com/ServiceNow/ServiceNowDocs/australia/markdown/australia/employee-service-management/health-and-safety-incident-management/hs-incident-mgmt-reference.md)