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FF STELL FIRE INCIDENT REPORT HSE SECTION

LOCATION: FF1: FF2:

Fire Incident Detail:


Date of Incident: Time of Incident:
Area
Concern Eng. / Foreman / Shift I/C
Fire Extinguisher used by
Type of fire extinguisher used DCP CO2

Details of any injured person / Equipment or property damage:

Describe in detail, how this incident happened.

Head HSE / In-


charge HSE
Remarks
Concern Eng. /
Shift In-charge
Remarks
Head Works
Remarks

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