Bluebee Software Platform

Reportable Incident?

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Name of person reported to:

Date Reported:

Name of witness if applicable:

Type of Incident:

Incident Date:

Incident Time:

Incident Location:

People Involved:

Incident Report Title/Short Description:

Incident Full Description:

Immediate Action Taken:

Suggested Actions:

(Include suggestions for reducing or eliminating the issue and timelines)

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