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Oregon Institute of Technology EMPLOYEE INCIDENT REPORT FORM NOTE THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OF LIABILITY BY OIT. Injury Incident Type Illness First Aid Only Incident Date Medical Treatment i.e. Doctor Last Name Yes No PM AM First Name Incident Location Job Title Witness Name/Title Nature of Injury Part of Body Injured Abrasion Cut Scratch Abdomen Face Leg Amputation Dislocation Shock Ankle Finger Mouth Asphyxiation Fracture Sprain Back Foot Nose Bite Laceration Splinter...
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This report provides an overview of the current status of a specific project or activity.
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