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Submit a Safety Alert

To submit a safety alert, please complete the form below.

Include any existing description and/or lessons learned documentation that you have already created, any relevant photos or illustrations and your full contact information. Once your submission is received, someone from our team will contact you to complete the process.

Section 1 - Personal Information

Two to three words
Please include description of incident, what caused it, contributing factors and corrective/preventative actions.
Short description of the event
Immediate and underlying causes, often a mixture of system and human performance issues
The recommendations to prevent similar recurrence
4-5 reflective open-ended questions to help others engage with the content

Section 2 – Attachments

Image Attachments
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Press Enter or Space to select files, or drag and drop files here. Supported formats: png jpg jpeg.

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Press Enter or Space to select files, or drag and drop files here. Supported formats: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.