Environmental
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Event Information
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Date of Incident/Exposure:
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Did Incident Occur on Employer's Premises?
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Was a Standard Operating Procedure Available?
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Was the Standard Operating Procedure Used?
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First Name (Legal) of Employee(s) Involved:
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Supervisor(s) of Involved Employee(s):
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What Were Employees Doing Before Incid./Expos.?
First and Last Name(s) of Witness(es):
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