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Zebulon Contractor Safety Manual Report of Accident, Environmental Release, Injury, Illness, Property Damage or Near Miss GSK-ZCSM-02 1 of 2 Use separate sheets as needed for additional information and/or sketches. Project Name: Building Number: Trade Contractor: Incident Type: (Circle Applicable) Report Number: Owner of Equipment: Location of Accident: Injury Illness Exposure Date: Close Call Property Damage...
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