Title Page
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Date
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Prepared by
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Division
General Information
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Date the incident happened
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Date and time of investigation
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Exact location of incident
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Take photo of the location where the incident occurred
Equipment Information
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Type of equipment damaged
Accident Details
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Describe the incident
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Root cause of the accident?
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Describe the damages
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Take photos
Recommendation
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State some recommendations
Completion
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Full Name and Signature