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bsafe incident report
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bsafe incident report
BSafe incident report
Report number
a43b89d007
Reported by
First name
Last name
Company or Contractor name (optional)
Details
Time
Date
What happened or what did you see?
Where did it happen?
What did you do and what more needs to be done?
Was anyone hurt?
Yes
No
Name of injured person
Type of injury
Severity of injury
Notifiable
Medical Treatment (MTI)
First Aid (FAI)
Was anything damaged?
Yes
No
Is there a photo?
Yes
No
Add a photo. (Max file size 10MB)
Verification
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