This MICHELIN accident report form helps teams document workplace injuries and incidents across manufacturing operations and field sites. Capture essential details such as time and location, involved persons, equipment or machine area, actions taken, photos of the activity, verification, and retention timing. Record a clear description of the event, contributing factors, and corrective actions to identify root causes and prevent recurrence. Designed as a practical starting point for safety reporting in plants and on-site work, this template supports consistent documentation and follow-up across teams.
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