Safety Incident Report
Incident reports are necessary for documenting details of the occurrence while they are most present in the mind of the witnesses and incident reporter.
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Safety Incident Report

Employee Injured
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Date of Incident
Time of Incident
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Category of Incident
Search and select all that apply
If Other, describe nature of incident
Were the police notified?

Safety Incident Details

Description of Incident
Hypothesis of Incident Causes
Follow Up Recommendations
Take a picture or video of incident aftermath
Upload images or videos
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Reported By
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