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J. J. Keller protects people and the businesses they run. You can trust our expertise across a wide range of subjects relating to labor, transportation, environmental, and worker safety. Our deep knowledge of federal and state agencies is built on a strong foundation of more than 100 editors and consultants and 70+ years of regulatory compliance experience.

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J. J. Keller protects people and the businesses they run. You can trust our expertise across a wide range of subjects relating to labor, transportation, environmental, and worker safety. Our deep knowledge of federal and state agencies is built on a strong foundation of more than 100 editors and consultants and 70+ years of regulatory compliance experience.

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Employee’s Workplace Incident Report Template - Padded, 8-1/2" W x 11" L

Simplify the process for employees to report workplace incident details

Product Code:76465
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  • Employees can use this form to report and document injury, illness, or near miss incidents to record details for injury and illness recordkeeping, workers’ compensation, and safety and health program initiatives.
  • Provides a systematic method for workplace incident reporting
  • Padded format, 50 forms per pad
  • Measures 8-1/2" W x 11" L
  • Made in the USA

Format: Pad

Advantage Savings: Advantage Savings

Compliance Topic: Injury & Illness Recordkeeping

Language: English

Size: 8-1/2" x 11"