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ACCIDENT RECORD

Document Number BIIS-SF-01


Reference Document BIIS-QP-14
TITLE: Accident Record

ACCIDENT RECORD
INCIDENT NATURE OF REPORTED TYPE OF CPAR
DATE ACCIDENT DETAILS LOCATION REMARKS
NO. INCIDENT BY INJURY NO.

Nature of incident: Major/Minor/Fatality/Property damage/Fire/Environment disturbance


Type of injury: Bruise /sprain/cut/fracture/amputation/crush/electrical shock/Burn/Others

Issued by QHSE Manager Document Number BIIS-SF-01 Revision No. 0.2


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Authorized by Managing Director Date 08-08-2021

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