Safety Incident Report
Manufacturing
Incident Management
Safety
Data Collection
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
Department
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Category of Incident
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If Other, describe nature of incident
Were the police notified?
YES
NO

Safety Incident Details

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