Report a Safety Concern

All safety related concerns should be reported to RVS' OH&S Manager.

Date and Time ■

/ / :

Please select one ■

safety concern
hazard
near miss
unsafe work refusal

Name

*If you would like to be informed about the actions taken in regard to the reported concern, hazard or near miss, please include your name.

Location (Required)

Description of Incident (Required)

Describe the concern, hazard, near miss or unsafe work refusal incident