GENERAL INFO REPORT
Name of Reporting Team Member
[2137]
Type of Incident
Minor collision in parking lot
Campus Where Occurred
Carlsbad
Location/Building
[130]
Type
[146]
Incident Date
August 11, 2019
Incident Time
List Names of Safety Team Members Involved
[134]
Incident Report / Actions Taken by Team Members
Photos taken, incident documented.
NCS Team Lead
[144]
Documents Attached
[115]
If any revisions or updates are needed for this incident, complete the form below.
Please select a valid form