NameDescriptionTypeAdditional information
Was an Employee/IndividuaL involved in the incident ?

string

None.

Personnel Type

string

None.

Employee First Name

string

None.

Employee Middle Name

string

None.

Employee Last Name

string

None.

Employee ID

string

None.

Do you want to further classify Unsupervised Contract Employee

string

None.

Type of Client Personnel

string

None.

Client Company

string

None.

Name of Contractor

string

None.

Name of Sub-Contractor

string

None.

Was any Machine / Equipment involved?

string

None.

Machine/Equipment Number

string

None.

Reviewed by EHS Representative

string

None.

Review Date

date

None.