Darke County's Incident Form John M. Cook Facilities & Safety Manager Darke County Phone: (937) 547-7302 Cell: (937) 459-2267 Fax: (937) 547-2907 "The secret of getting ahead is getting started." ~ Mark Twain From: CORSA-broadcast <corsa-broadcast-bounces@corsa.org> On Behalf Of Hardin EMA Sent: Thursday, August 30, 2018 3:57 PM To: 'CORSA Broadcast Email' <corsa-broadcast@corsa.org> Subject: [CORSA-broadcast] Incident report Hardin County is looking to update their Unusual Incident Report, a one-page form that any county employee can complete when they observe or notice an accident, injury, or any unusual event or circumstance that may involve a member of the public, county property, or county employee. This is separate from a BWC Employee Report of Injury or Illness, but would include some of the same information in some circumstances. Would any county be willing to share anything they use that might help us improve our form? Thank you, Max Trachsel Hardin Co. EMA & Loss Control 419-674-2276