Free Foreign Object Incident Report Form Template
Foreign Object Incident Report Form
Please fill out the form with your information below.
Incident Details
Date of Incident
Location of Incident
Reporting Party Information
Name
Position/Role
Phone number
Describe the foreign object involved
Describe how the foreign object was identified or discovered
Provide a step-by-step account of the incident
Was the foreign object removed or contained?
Were medical or safety personnel contacted?
Date:
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