Welcome to Wescott Construction Employee Portal

Incident Report

Use this report for accidents, injuries, medical situations, criminal activities, traffic incidents or behavior incidents. Report should be completed 24 hours of incident.

PERSON INVOLVED

Last Name(Required)

First Name(Required)

Address(Required)

Identification(Required)

Driver's License Number or Passport Number

Phone Number(Required)

Email Address(Required)

INCIDENT

Date(Required)

Time(Required)

Untitled(Required)

Location of Incident(Required)

Describe Incident

INJURIES

Was anyone injured?(Required)

Describe Injuries

WINTESSES

Were there any witnesses?(Required)

Witness Last Name

Witness First Name

Witness Phone Number

Witness Address

Other Important Witness Information

POLICE or MEDICAL SERVICES

Police Notified(Required)

Report Filed(Required)

Medical Treatment Provided?(Required)

Where was medical treatment provided?

PERSON FILING REPORT

Name of person filing report(Required)

Date report filed(Required)

Signature(Required)

By checking this box, I am authorizing my digital signature.

We are striving to provide you with access to resources and forms that you need on a regular basis. Please see included Forms & Documents. Contact the Rachel (502-802-8268) if you are in need of further documents that you cannot find.