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Primax Incident Report



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Date/TimeÈÕÆÚ/ʱ¼ä£ºXÄêXÔÂXÈÕ21:20×óÓÒ

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Incident Category(Tick off appropriate categories)ʼþ·ÖÀà(Çë´ò¡°¡Ì¡±Ñ¡ÔñÊʵ±µÄ·ÖÀà)

¡õ1.Learning Eventsѧϰʼþ

¡õ2.Occupational InjuryÉËÍöʹÊ

¡õNo Lost WorkdaysÎÞʧʱÈÕ£»

¡õLost workdaysʧʱһÈÕ£»

¡õOver three daysʧʱÈýÈÕ¡£

¡õ3.Occupational IllnessÖ°Òµ¼²²¡

¡õTreatmentÐèÖÎÁÆ

¡õLost timeʧʱ

¡õFatalËÀÍö

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Description of Incident(include person¡¢event¡¢time¡¢area and objects)ʼþÃèÊö¡¢º¬ÈËÊÂʱµØÎ

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Immediate Actions Taken½ô¼±´ëÊ©£º

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Cause of Incidentʼþ·¢ÉúÔ­Òò£º

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Corrective Action¸Ä½ø´ëÊ©

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