Title Page
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Date reported
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Reported by
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Job title and department
- Ops Manager, Forestry Leasing Solutions
- Director, Forestry Leasing Solutions
- Crew Foreman, Forestry Leasing Solutions
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Location
Environmental Incident Details
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Date and time of the incident
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Location of the incident
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Skid/ Setting Details
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Who was the person who identified the incident?
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What actually was the incident?
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What type of incident was it?
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What is the potential or actual environmental impact of the incident?
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What steps have been taken or will be taken to prevent this same incident or others like it from occurring in the future?
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Who has been told about the incident?
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Were any injuries sustained?
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Accomplish an accident or injury report and upload it here.
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Where has the authorization for the report come from?
Completion
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Reporter's Name and Signature
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Acknowledgment
