Health and Safety at Work etc Act 1974
The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013

Report of a Flammable Gas Incident

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A report of a flammable gas incident will ask for the number of injured persons and their names. You will need this information to complete and submit this form.

About you and your organisation




About the gas incident

*Where did the incident happen?

In which local authority did the incident happen? 

Please indicate the local authority area in which the site is located. You need to select the Country first, then the geographical area (England only), and finally the local authority.
Selecting the local authority will help ensure that the appropriate Enforcing Authority (EA) for that area receives the notification.
For local authorities in England, each is allocated to a geographical area. The information is available on gov.uk 'Find your local council' opens in new window



What is the name of the person living in the premises?




Details of the landlord or their managing agent




Contact details of someone other than the resident




About those injured as a result of the incident

*How many people died?
*How many people suffered major injury?

People injured as a result of the incident




List of fatalities and injuries

Please provide further relevant information. For example:
  • the events that led to the incident
  • the part played by any people
  • action taken (if any) to prevent similar incidents occurring

Thank you for submitting your RIDDOR form

Your form has been received and has been assigned the reference number . If you wish to keep a copy of the form, please download it using the button below. YOU WILL NOT RECEIVE ANY OTHER CONFIRMATION.

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