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HOME
INSPECTION AND PSI FORMS
SAFETY TALKS
WEEKLY SAFETY TALK REPORT
SITE INSPECTION REPORT
VACATION REQUEST
INJURY REPORT
UPDATES/ TESTS
COMPLAINTS

REMEMBER ALL INJURIES ARE DIFFERENT AND THERE ARE FACTORS THAT CHANGE WHAT NEEDS TO HAPPEN FIRST. PLEASE USE YOUR BEST JUDGMENT AND KEEP CALM.

Your name?*

Email*

Did you call 9-1-1? Is it a major injury?*

Injured workers name?*

Was first-aid given? if so what was it? Where is the exact injury location on the person?*

Do they need to seek treatment? if so which Hospital did they go to?*

Jobsite name? Address? Floor?*

What happened*

Are there any witnesses? if so list their names?*

Date and time of injury*

Have you notified: Site Supervisor Name? Foreman? Office Accounting Dept.? Simon? *

Who took the injured person for treatment and was the FAF form given*

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