ࡱ> %` bjbj"x"x ،@@  *5558J5D5*I`&7&7&7&7&7,:,:,:>I@I@I@I@I@I@I$KhMdI,:99@,:,:dI&7&7yI<<<,:&78&7>I<,:>I<<<&77 ?fP5:d<B|I0I<-N;-N<-N<@,:,:<,:,:,:,:,:dIdI$<^,:,:,:I,:,:,:,:***!d***!***  INCIDENT DATEINCIDENT TIMEREPORT DATEREPORT TIME INCIDENT OWNERSHIPDIVISIONSUB-DIVISIONUNIT OR DEPT DESCRIPTION OF WHAT HAPPENED EXACT INCIDENT LOCATION On or Off BBC SiteRegion/AreaLocationSub-Area PERSON INVOLVED Does the person consent to details of their involvement in this Incident being passed to their union rep?Yes / No CATEGORY OF PERSON [(]Employee [ ] Contractor [ ] Freelance [ ] Artist/Contributor [ ] Mem of. Public [ ]  NATURE OF INVOLVEMENT [(]Witness [ ] First Person on Scene [ ] Other [ ]  PERSONS NAMEName:Mr/Mrs/Miss/Ms First Name: Last Name:  OTHER INFORMATION FM Manager in attendance (if applicable)Reported in Duty Log?Yes [ ] No [ ] N/A [ ]  TYPE OF INCIDENT [(]Breach of Limits/Licence Cond. [ ] Oil & Chemical Storage [ ] Spillage/Spillage Response [ ] Waste Storage & Disposal [ ] Serious Public/Other Complaint [ ] Water Abstraction/Disposal [ ] Third Parties and Supply Chain [ ] Smoke, Fumes & Odours [ ] Natural Envnment & Wildlife [ ] Light Pollution [ ] Noise Nuisance [ ] Other [ ] If Other please describe:  Is this a reportable incident?Yes [ ] No [ ] Unknown [ ] If "Yes" which agency What are the actual or foreseeable potential consequences known at this time? [(]Prosecution [ ] Enforcement Notice (Imp/Proht) [ ] Civil Claim [ ] Clean-up/Restoration [ ] Breach of Licence Requirements [ ] Adverse Publicity/Reaction [ ] Adverse Customer Reaction [ ] Contamination of Water [ ] Habitat or Species [ ] Health Effects [ ]  Please provide any other relevant information What immediate actions have been taken? 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