Title Page
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Nature of reporting
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Location of Occurence
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Job Reference Number:-
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Location
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Date and Time of Occurence
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What Happened?
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Is there any Damage or Injuries?
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People involved, As much detail as possible to include Names addresses or property detail:-
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Actions Taken:-
- hospital
- Doctor
- Repair
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Other Notes:-
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Photos of Any Damage or Injuries:-
