Workplace Incident Report
Document workplace incident by submitting this report.

An incident report is a formal recording of the facts related to a workplace accident, injury, or near miss. Its primary purpose is to uncover the circumstances and conditions that led to the event in order to prevent future incidents.
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Branch Name (e.g. Jmall, AyalaCB) *
Team Lead Name *
Incident Date *
Name of the employee(s) involved *
Incident Type *
Specific Location of the Event *
For example: Inside the store
Incident Description (Include all events that led up to the incident) *
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