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Reporter Details
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Reported By (Full Names)
Email
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Mobile Number
Incident Report
Date of Incident
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Tpye of Incident
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Environmental Incidents (e.g weather conditions| spills| emissions)
Vehicle Accidents (Car Crash)
Injuries (workplace or other places with LXR related Asset)
Salik
Fine
Dispute
RTA
Time of Incident
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Location of Incident
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Witnesses
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Persons Involved
Immediate Actions Taken
*
Root Cause
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Description of Incident (Feel free to attached/Insert evidence)
*
Attach Photo Prove (if available)
CORRECTIVE ACTIONS (Official Use Only)
LXR Actions
Approved By
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