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General Environmental Incident Summary Incident: 4024 Date/Time Notice: 2/21/2016 Responsible Party: Liberty Oilfield Services Date Incident: 2/20/2016 McKenzie County: Lat: 47.78580 DEM Incident
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Provide accurate and specific details about the incident, including a clear description of what happened and any relevant circumstances.
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Include any relevant documentation or evidence, such as photographs or videos, to support your incident report.
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Who needs incident 4024 - ndhealth:
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This incident report form is typically required by individuals or organizations involved in the healthcare industry in North Dakota.
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Healthcare professionals, including doctors, nurses, and other medical staff, may need to fill out this form to report any incidents or accidents that occur in their healthcare facilities.
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Patients or their family members may also be required to complete this form if they witness or experience an incident within a healthcare setting.
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