Safety Incident Report
Manufacturing
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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