New Safety Report

For emergencies, call 911

For non-emergency medical assistance, contact:
Justin Yohn at 601-966-6853 or your Supervisor.

This employee has already submitted 3 safety reports today. Please contact your Health and Safety department directly if you need to report an immediate safety concern.

Score

Safety Report Type

Description

Submitted By

Date Created (report format)

Immediate Corrective Action

Long Term Corrective Action

Incident Photo 1

Incident Photo 2

Incident Photo 3

Incident Photo 4

Incident Photo 5

Corrective Action Photo 1

Corrective Action Photo 2

Check the checkbox below to acknowledge you have reviewed the safety checklist, and marked any applicable action items.

Acknowledge

PPE

Satisfactory
Action Required

Tools & Equipment

Satisfactory
Action Required

Slips, Trips, & Falls

Satisfactory
Action Required

Material Handling

Satisfactory
Action Required

Safety Manager E-Mail

Steps to Final Outcome

Final Outcome

Final Outcome Photo

Report Status

Closed By

Date Closed

Injury Report Type

Injury Report Status

E3 Safety Observations

ERROR MESSAGES

Initial Report

Photos

Safety Checklist

Personal Protective Equipment

Tools & Equipment

Slips, Trips & Falls

Material Handling

Safety Office

System Columns