Nelco Safety Event report
Source of Report
*
Please Select
Individual
Regional SPOC
Works committee walk
Safety committee walk
MD walk
Mock drill
Internal Audit Observation
External Audit Observation
Name of person reporting the Safety Event
*
Email ID
Category of Safety Event
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Please Select
Office or Campus
Warehouse
Road
Teleport
TRC
Subcategory of Safety Event
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Please Select
Road accident
Fire
Electrical event
Slip and fall
Health and hygeine
Others
Date of Safety Event
*
Time of Safety Event
*
Place of the Safety Event
*
Please Select
Nelco Premises
Customer Premises
Road
Name of the Location
*
Please Select
Mahape
Bangalore
Secunderabad
Chennai
ERNAKULAM
New Delhi
Kolkata
Guwahati
Dehradun
Noida
Ranchi
Ghaziabad
Ahmedabad
Specific location in the premise eg Canteen
Description of the Safety Event
*
Cause of the Safety event
Image
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