JDH Initial Incident Report To be completed immediately when an incident occurs. Employee Name(Required) Date(Required) MM slash DD slash YYYY Division(Required)IN FiberIN CivilsIN TowerIN WarehouseIN OfficeKY Vertical DrillingKY Tower CivilsKY WarehouseKY OfficeProject/Facility Location/Job Number(Required) Type of Incident(Required)InjuryProperty Damage (JDH or public)Utility StrikeHave you notified the Safety Department?(Required)YesNoThe first call should immediately be made to the Safety Director/Manager.Description of Incident(Required)Include relevant details and photos.Upload files or photosMax. file size: 50 MB.Signature
