Voluntary/Non-Mandatory Safety Report
The information and data provided in this form hereafter, will only be used for safety enhancement purpose within our activities through the collection of reports on actual or potential safety deficiencies that would otherwise not be reported through other channels.
All identities provided in this report will be removed/de-identified by the Safety Officer to assure complete reporter anonymity. In no case will your identity be disclosed to any person within the organization without your express permission.
When this part of the form is completed, it should be submitted to the Safety Officer or any member of the Safety Review Board. It may also be dropped in the drop boxes provided for the purpose at various locations. The Safety Officer may contact the reporter to make sure he understands the nature and circumstances of the occurrence, incident or the hazard reported and/or to obtain additional information. When the Safety Officer is convinced that the information obtained is complete and coherent, he will de-identify the information and enter the data into the SRS database.
All identities provided in this report will be removed/de-identified by the Safety Officer to assure complete reporter anonymity. In no case will your identity be disclosed to any person within the organization without your express permission.
When this part of the form is completed, it should be submitted to the Safety Officer or any member of the Safety Review Board. It may also be dropped in the drop boxes provided for the purpose at various locations. The Safety Officer may contact the reporter to make sure he understands the nature and circumstances of the occurrence, incident or the hazard reported and/or to obtain additional information. When the Safety Officer is convinced that the information obtained is complete and coherent, he will de-identify the information and enter the data into the SRS database.