By submitting this report, I confirm that, to the best of my knowledge, the information provided is accurate and complete and that I am authorised to make this report and provide any attached photographs or evidence. I understand that this submission may form part of the building’s official incident records and may be retained, used and disclosed for safety, incident response, investigation, compliance, legal and insurance purposes, including to building management, Perth Facility Solutions, authorised service providers, insurers, emergency services and relevant authorities where reasonably necessary or required by law. This form does not contact emergency services or replace required emergency notification. For a fire or other life-threatening emergency, call Triple Zero (000).