NCS Interactive Safety Reporting

• Conducted on

  Date
• Location
  Address

• What would you like to report?

  Select Near Miss Injury / Illness Hazard Observation - Report Anything Property Damage Good Catch Environmental Issue Quality Issue

  • Near Miss
  • Injury / Illness
  • Hazard
  • Observation - Report Anything
  • Property Damage
  • Good Catch
  • Environmental Issue
  • Quality Issue

• Add image or video?

  Media

• If applicable, please state project # or name

  Select

Briefly summarize what you are reporting

• Add title

• Add description

Who is reporting this? (may be left blank)

• First & Last name

• Contact cell phone number or e-mail

• Yes

  No

  N/A