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OHM CASE No. CONFIDENTIAL YESREGION.1JNCIDENTNOTIFICATION REPORT|Reported rmm/rid/wL 7/\"\"in ri Il ! Military Time: \'NRC Case No.\'Thru NRC:I H UP iflECORDED BY:\'IState^TLocalPhone No.( qflZip:Organization:P. Enterprise\"B) DISAs Above in ANameCHARGERAddress:StateI LocalP. Utility\' UnknownI FederalIP. Citizen\'Contact State:County:City:ExtI Phone No. (i Zjd: C)! As above in 5I Street or Approx. Location:INCIDENT! Address:,
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OHM case no refers to the specific identification number assigned to cases involving occupational health and safety management.
Employers, safety officers, or any entity managing workplace safety are required to file an OHM case number when incidents that affect occupational health and safety occur.
To fill out an OHM case number, submit the required documentation and incident report to the relevant occupational health and safety authorities, ensuring that all necessary details are included.
The purpose of the OHM case number is to track and manage reports of occupational health and safety incidents, ensuring compliance with regulatory standards.
The information that must be reported includes the date of the incident, location, description of the incident, involved parties, and any actions taken in response.
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