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Submitter Information

Report Only (No Incident)

Report & Incident Information

Was it Reported to OSHA?
Recordable in your OSHA 300 Log?
Did the Employee miss work?
3rd Party Potential Involvement?

Attachments (C2, C3, Supervisor Form, Witness Forms, Photos, Voice Recording, Video, etc)

You can always submit documents by email, or in your Navigator Risk system later.

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