Incident Video Creation Request Form

Incident Video Creation Request Form Please complete the table:

Photo 1 Working center Maho DMU 160P duo block. This is in the mechanical manufacturing.

Photo 2 The employee went to the machine

Photo 3 He entered the wooden platform. This has a height of 4cm. Note: the colored marking were not available at time of accident. If necessary, retouch in the video.

Photo 4 The employee was on the left edge of the wooden podium.

Photo 5 The worker stepped on the edge and broke with the left foot over.

Photo 6 The worker stepped on the edge and broke with the left foot over.

Incident Video Creation Request Form

Incident Video Creation Request Form

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