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safety
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Home
Terms
Web Design
Contact
Client Login
Landing
safety
form
Incident Reporting Form
Incident Report
Reported By
Plant
Narek
Leonard Road
Airport
Date
Time
Incident type
Accident
Near Miss
Hazard
Environment
Risk level
Low
Med
High
Extreme
Location
Description
Action Taken
Add Photos
Upload File
FileExample.pdf
Max File Size: 10 MB
Work method was unsafe
Unsafe Act
Not using protective equipment
Safety Device not used
Saftey device failed
Lack of procedures/Instruction
Inadequate training
Untidy/Poor Housekeeping
Inadequate or missing guarding
Poor condition of equipment
Unsafe Walking Surface
Other? Specify
Submit
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