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J. J. Keller protects people and the businesses they run. You can trust our expertise across a wide range of subjects relating to labor, transportation, environmental, and worker safety. Our deep knowledge of federal and state agencies is built on a strong foundation of more than 100 editors and consultants and 70+ years of regulatory compliance experience.

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J. J. Keller protects people and the businesses they run. You can trust our expertise across a wide range of subjects relating to labor, transportation, environmental, and worker safety. Our deep knowledge of federal and state agencies is built on a strong foundation of more than 100 editors and consultants and 70+ years of regulatory compliance experience.

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  • Use this form to gather witness information on injury, illness, or near miss incidents to record details for injury and illness recordkeeping, workers’ compensation, and safety and health program initiatives.
  • A systematic method for collecting initial witness details on a workplace incident.
  • Padded format, 50 forms per pad
  • Measures 8-1/2" W x 11" L
  • Made in the USA

Size: 8.5" x 11"

Format: Pad

Compliance Topic: Injury & Illness Recordkeeping

Language: English