accident report blank
Post on 10-Jul-2016
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ACCIDENT REPORT
Project: _______________
Date of the Accident: Time:
Place:
DESCRIPTION OF WHAT HAPPENED/WAS OBSERVED:
What could be happen: YES NO
Injury
Material Damage
Were persons involved
Plants/Equipments Involved:
Probable Causes:
Action to Prevent
Reported by Report Compiled by Checked & Approved byName: Name: Name:
Job Title: Job Title: Job Title:
Signature: Signature: Signature:
Date: Date: Date:
Sr. No: ______
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