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Submit incident report

All fields are useful, but only the starred ones are required. The form sends a PDF to the workshop owner.

When & where

Date *

Time

Location *

Type

Tick all that apply.

Injury or illness Near-miss Property damage Dangerous occurrence Environmental (spill) Other

What happened

Description *

Immediate action taken

People involved

Names & roles

Was anyone hurt? *

No Yes — minor first aid only Yes — required external medical Yes — hospital admission

Consequences

Was the work stopped?

Yes No

Property or equipment damage

None Minor Significant

Photos

Up to 5 photos. JPEG/PNG, 5MB each, 25MB total. Optional.

Your details

Your name *

Your contact (phone or email) *

Submitting will email a PDF of this report to the workshop owner.

The Detailing Specialists · Workshop Portal · For staff use only