Accident Report Form

BORANG LAPORAN KEMALANGAN PEKERJAAN, KEJADIAN BERBAHAYA DAN PENYAKIT PEKERJAAN / OCCUPATIONAL ACCIDENT,DANGEROUS OCCURRENCE & OCCUPATIONAL DISEASE REPORT FORM

The following fields are all required to process this report. Enter 'N/A' in fields that are not applicable.

Salinan laporan akan dihantar melalui emel ini untuk tujuan rekod /A copy of the report will be sent through this email for record purposes
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Restate the problem title and/or include more descriptive summary information.
Maximum upload size: 65.54MB