Section 1

What Happened? (This will form your report)

Action (What action have you taken to resolve this?)

THE BELOW IS ONLY REQUIRED IF YOU HAVE 2 OR LESS ADDITIONAL HAZARDS.
Additional Hazards below are only to be used on same site when all other information above is the same.

Additional Hazard 1 (Include Action)

Additional Hazard 2 (Include Action)

The template must now be sent (PDF ONLY) via email to box.SHE.Incident@cadentgas.com
Export report and select 'send via email'.