GCA Safety Alert

What taken actions

Name *

First

Last

Email *

Phone

Multiple Choice *

Brief description of incident. *

Example: Employee smashed his thumb using a hammer.

How did this event occur? *

What are some of the factors contributing to this incident? *

What corrective actions are being taken to avoid this in the future? *

Photos of Incident

Click or drag a file to this area to upload.

Include any photos of the incident but avoid colors and logo branding if possible.