Incident Registration Form

Use this form to register an Health & Safety Incident.

We will process the information and H&S Team member will get back to you within the next couple of hours. All submitted information and pictures will be treated confidential. Thank you very much for making MGA a safer work place.

Incident Type *

Incident Subject *

Incident Date *

Incident Time *

Incident Description

Attachment

Your name *

Your email address *

Your Phone *

Is Ohs

Submit