AFAB
EHS Hazard Reporting System
Report of Unsafe Act or Condition
Help keep our workplace safe — report hazards promptly so they can be evaluated and abated.
It is the duty of each employee to report immediately to their supervisor any unsafe act or condition. Prompt reporting ensures the alleged condition can be evaluated and appropriately abated.
A
Section A — To be completed by the reporting employee
Name of employee making report
Leave blank to submit anonymously.
Phone number
Phone number is required.
Enter a valid phone number.
Program
Select Program
AFAB
Select a program.
Task order
Select a task order.
Directorate
Select a directorate.
Camp location (observed)
Balad
Select a camp location.
Incident type
Unsafe Act
Unsafe Condition
Near Miss
Date observed
Date observed is required.
Bldg. / Trailer no.
Building / trailer number is required.
Brief description of the identified unsafe act or condition
A description is required.
0
/4000
Leave this field empty