Incident Registration Form

Use this form to register a Health & Safety Incident.

Once you submit the information, our H&S Team will review it and get back to you within a few hours. Please be assured that all submitted details and photos will be kept confidential. Thank you for helping to make MGA a safer workplace.

Incident Type *

Incident Subject *

Date

Incident Time

Incidence Description

Please upload one or more images or attachments

Your Name *

Your Email Address

Your Phone Number *

Is Ohs

Submit