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Near Miss Notification Form
You can submit near miss and incident notifications through this form
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INCIDENT NOTIFICATION
Notification Type
Reporter
Date/Time
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Hr: 01
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Min: 00
Min: 05
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Min: 50
Min: 55
Affected Type
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Production Staff
Contractor Employee
Technical Staff
Visitor
Other
Building/Structure
Vehicle
Auditor
Intern
Laboratory Staff
Office Employee
Affected Personnel
Affected Personnel Department
Location
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MEFAR
BİRGİ
Place
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Description
Incident Photos
Photo
Description
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