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\r
REQUEST SUMMARY\r
Request #: \r
Request Type: \r
Requested by: \r
Current Status: - \r
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To view the details and complete your task for this request click the following link:\r
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A Safety Incident Report and Evaluation Has Been Submitted

\n

 

\n

Please update the record for regarding the incident.

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REQUEST SUMMARY

\n

A report has been submitted for

\n

To view the details of this incident click the following link:

\n

 

\n

 

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Please complete a Safety Incident Report for each employee who was involved in the incident. List any uninvolved witnesses in the space provided.

\n

Report an incident if it:

\n
    \n
  • Causes disruption or interference to an organization;
  • \n
  • Causes significant risks that could affect members within an organization;
  • \n
  • Impacts on the systems and operation of workplaces; and/ or
  • \n
  • Attracts negative media attention or a negative profile for the workplace
  • \n
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