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Fencing
Fence Services
Fence Repair
Automatic Gate Services
New Fence Estimator
Your Fence Guide
About
Our Team
Our Process
Financing
Careers
Get A Virtual Estimate
Reviews
Leave A Google Review
Leave A Facebook Review
Leave A BBB Review
Learning Center
Portfolio
Pricing
(844) 628-8537
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Incident/Accident/Equipment Damage Report
Name of Person Filing Report
Project Name/Location of Incident/Accident/Equipment Damage
Date of Report
Time of Report
Name of Person/Property Injured/Damaged
Type of Injury/Accident
Name of Witness(es)
Detail of incident/Accident: (Please be very specific)
Did an injury occur?
Yes
No
Date Injury/Accident was reported to the supervisor
Time Injury/Accident was reported to the supervisor
What can be done to improve on this type of project in the future?
Name of Person who Reported Injury/Accident
Upload photos
Upload photos
Upload photos
Supervisor Signature Initials
Date
Owner Signature Initials
Date
Submit
