Under Australian Consumer Law, suppliers are required to report any product-related death, serious injury or serious illness associated with a consumer product. 
  Who should use this form 
  
    Retailers 
    Suppliers, wholesalers or distributors of consumer products 
    Importers or manufacturers of consumer products 
    Providers of product-related services (e.g. installation, repair of consumer products) 
   
  Who should NOT use this form 
  
    Suppliers of therapeutic goods should report adverse events to the TGA   
    Suppliers of pesticides and veterinary medicines should report to the APVMA   
    Food-borne infectious diseases/pathogens are reportable to health authorities. However, other kinds of food-related incidents must be reported if the reporting criteria are satisfied (e.g. serious injury from food-packaging and anaphylactic reactions) 
    Motor vehicle accidents are only reportable to the ACCC if they occur off-road or on private roads/driveways 
    Consumers should contact the supplier of the potentially hazardous product or report an unsafe product  to the ACCC 
    Suppliers and manufacturers of non-consumer products 
    Read the mandatory reporting guidelines  for a full list of reporting exemptions 
   
  Complete all fields on this form to the extent that is known at the time the notice is given.
  If you have any problems filling in this form please call 1300 302 502 or email mandatoryreporting@accc.gov.au .