REPORT AN INCIDENT Identify the person and description of case below. Employees Name Title Email Company Date of incident Where the event occured (eg. loading dock; south end) Type of Injury Body InjurySkin DisorderRespiratory ConditionPoisoning Hearing LossTested Positive for CV-19 Describe injury or illness, parts of body affected, and object/substance that directly injured or made person ill (e.g. Second degree burns on left leg from acetylene torch) Upload a picture REPORT INCIDENT