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Native Tech Incident Report
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Native Tech Incident Report
Staying safe at Native Tech & DNA
Health & Safety
Please fill out this form if any type of incident has happened at Native Tech.
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Your Name
*
Email
*
Email
Confirm Email
Mobile
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Who does this report relate to?
*
Staff
Contractor
Student
Visitor
Child
Other
Type of event
*
Incident
Accident (Injury/Illness)
Security (including theft/trespass)
Technology
Property Damage
Other
What happened?
*
Where did this happen?
*
When did this incident happen?
*
Date
Time
Who was involved and/or affected?
*
Photos/Video of Incident
Click or drag files to this area to upload.
You can upload up to 5 files.
Please upload any photos you have of what happened, what got broken, etc.
Submit
When to use this form:
Please use this form if something has happened at
Native Tech that we need to know about.
