INCIDENTS Incident Feedback Report Please Enter Your Incident # : Fetch Data Incident # Date Time Unit Administration Air Cond System Amm Storage Sys Amm Syn And Ref Ammonia Unit ARIM Bagging & Shipping Unit Clinic Club CO2 Remo & Methan Cont-Out Ser Sec Cooling Tower Coolng Water Sys Desulphur & Refor DSP Gas Compression Electrical Engineering Department Envir Protection Equipment Maint. Fab. Shop Finance Fire Fightng FAC Fix Aset& St Acc Gas Compression Gas Sup Station GCF Unit Gen Management Horticulture Human Resource Inert Gas Gen Info Tech Unit Inspection Unit Inst & Plant Air Instrument Laboratory Liner Plant LLA FFC MM Machine Shop Machinery Mat Acc Unit Material Unit MIS Sup & Mnt Un Motor Pool Offsite FAC Planning & Scheduling Plant Management Power Generation Process Unit Production Project Unit Protocol Section Public Relat Dep Quality Asur Off Resident Manager Safety Unit Schools Security Section Special Projects (Maint) Staff Canteen Staff Club Steam Gen System Technical Services Township Township FAC Transport TTC Urea Unit Utilities Unit Vehicle Shop Vendor Servicmen Waste Water Disp Water Treatment HSE MARKETING Category On the Job Off the Job Responsible Permanent Contractor Location Incident Incident Type Near Miss Injury Fire Environmental Process Safety Asset Damage Equipment Failure Operation Upset Product Contamination Industrial Hygiene Traffic Incident Others Potential Narrative Findings Basic Cause Recommendation 1 Action BY 1 Target Date 1 Recommendation 2 Action BY 2 Target Date 2 Recommendation 3 Action BY 3 Target Date 3 Feedback by P. No. Feedback by Name Email ID Upload Picture 1 Upload Picture 2 SUBMIT
