Amy Hunter

Final Incident Report

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Incident Details

Date:
Location:
Nature of Incident:
- Injury
- Property Damage
- Spill
- Line Strike
- Other:
Incident Summary
STKY?
What energy was released?
STKYp?
What energy was released?
Injuries and/or damage:
Supervisor:
Sequence of events:
Facts of the Incident:
Actions moving forward/controls:
Supporting documentation (JTSA, photos, statements, OneCall, etc.)
Investigation Completed by:

Amy Hunter

Final Incident Report

Use this Template

Print as PDF

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