Hazard / Injury / Incident Report

Hazard / Injury / Incident Report
    Hazard / Injury / Incident Report Form
    1. Is this a hazard, injury or incident (near miss) report? This is a required field.
      Is this a hazard, injury or incident (near miss) report? This is a required field.
    2. Injury Report

      If an injury occurred, fill out all applicable details below.

      1. Treatment Outcome
        Treatment Outcome
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