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 informations and pictures will be treated confidential. Thank you very much for making MGA a safer work place.

Incident Type *

Incident Subject *

Date

Time

Incident Description

Please upload one or more images or attachments

Attachment(s)

Your name *

Your email address

Your phone number *