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GRAV1TY Incident Reporting Form

Please fill out this form as thoroughly as possible if an incident occurs that needs to be reported. Complete all sections of the form and submit it to the GRAV1TY Management Team within 24 hours of the incident.

Incident Details

Date of Incident
:
Type of Incident (Select all that apply)

Individuals Involved or Affected

Were any individuals injured or affected?
Yes
No

Incident Description

Were emergency services contacted?
Yes
No

Witnesses

Were there any witnesses to the incident?
Yes
No

Follow-Up Actions

Suggested Preventive Measures

Reported By

Date of Report Submission
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