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Accident Report
Accident Details
Accident Reference Number
Date of Accident
Time
Location
Injured Person
NameJob TitleDepartmentInjury Sustained
    
Description of Events
Witnesses
NameJob TitleDepartment
   
Action
Action(s) TakenAction(s) Needed
  
Reported by
Date
Reported to
Signature
F2508 Required?
Yes
No
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