INCIDENT REPORT FORM |Submitted by | | |Position | | |Campaign/Department | | |Immediate Supervisor | | |Date
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yards away from each other. Prior to the incident‚ Thomsen had noticed uniformed workers digging trenches around a tree at the other end of the lawn and spreading contents of some bags into the trenches. Other workers were spraying the tree foliage. There were stakes placed in the ground around the tree‚ although Thomsen could not see what was written on them. He did not remember seeing any work done or signs around the other trees.10 days after the incident‚ Thomsen returned to the library to take
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Please find enclosed with a hard copy of this letter‚ the plaintiffs‚ Alexander Ollerhead‚ Hannah Cabral and Elizabeth Roberts’s response to our requests for production of documents. We have also prepared individual medical timelines for your reference. Alexander Ollerhead Thus far‚ Ms. Ollerhead has produced $43‚432.14 in medical expenses which she relates are due to our accident of November 21‚ 2014. At the time of the accident‚ Ms. Ollerhead was 16 years old. She was the front seat passenger
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SYNOPSIS: On November 29‚ 2015‚ I‚ Cpl. Lessane‚ with the Hampton County Sheriff’s Office‚ responded to 995 Stanley Loop‚ in the city/county of Hampton‚ in reference to a domestic incident between mother and son. Upon arrival‚ I made contact with the complainant‚ Rose Stanley‚ who stated her son‚ Gregory Stanley‚ was causing a disturbance in the residence. INTERVIEW WITH COMPLAINANT: (ROSE STANLEY) Ms. Stanley stated Gregory was causing a disturbance in the residence on the above listed date. She
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LESSANE responded to the incident location in reference to vandalism to a vehicle. Upon arrival and conducting a property check‚ Officer LESSANE observed oil on the front windshield‚ hood‚ roof and driver side front window‚ of a white Chrysler Town & Country van. Interview with the complainant: (MELISSA MOCK) MOCK stated on the above listed date and time‚ she got into a verbal dispute with her brother‚ WILLIAM YOUMANS. She stated both her and YOUMANS resides at the incident location. MOCK stated YOUMANS
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from 10:30 am instead of 09:30am. The patient reports she is not stable at her current dose because she is experiencing cravings. She reports using 2 bags of heroin by inhalation‚ no cocaine last night. This writer completed the dose change request form as the patient requested to increase her dose by 5 mgs. Furthermore‚ this writer discussed with the patient about her triggers and addressing alternatives to refrain from illicit drugs. The patient reports that she missed group again at Wheeler Clinic
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STONEBRIDGE RESIDENTIAL CARE HOME ACCIDENT/INCIDENT REPORT FORM Date of Accident: 2nd may 2013 Date Reported: 2nd may 2013 Time of Accident: between 9:45am – 10am Time Reported: 10:30am Specific Location: the location of the accident happened in Stonebridge Residential Care Home‚ in the garden at the front of the care home. Reporter Name: Sadie Goody Phone Number(s): 01728456321 Position: Care assistant Witness Name: There was no person present to witness the
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INCIDENT OF EXPLOSION OF ELECTRICAL WORKSHOP’S 3.3kV TRANSFORMER AT INSTEP Date: 2nd May 2012 Time: 03.40 p.m. Place: Electrical Trade Workshop Summary On 2nd May 2012‚ Electrical Trade power transformer was exploded and causes a minor injury to 4 students from the trade. The Fire Department from Kuala Terengganu had cleared the area and 2 specialists from Tenaga Nasional Berhad had come for further investigation. The Head of Department from Human‚ Safety and Health had been informed. Description
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Incident Report Analysis Objective: To provide the fire trainee a real situation for analyzing Fire Behavior‚ Risk Management‚ and Situation Awareness and for the trainee to identify Hazard Control failures‚ compromised Watchout Situations and violated Firefighting Orders. Materials: Colored marking pens‚ a large sheet of paper for each group‚ masking tape‚ and a recent incident report. Process: 1. Class divides into groups of 4 students ( preferably with folks you do not know ) 2
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Incident Report Report on analyzing network problem for DHS‚ Nov 14th Summary On Nov 13th‚ I was sent to Helijet‚ Victoria by Director Darren Hasselhoff for an emergency of the government offices in the Department of Human Service. The emergent problem was assumed as malware-leading hacking and attacking at first and perplexed me yesterday. However‚ today I figured out that the problem is caused by the factory defect of network cards in their computers and solved it‚ then I returned right after
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