Incident Report 3322
Document the events of any incident/accident involving resident, employee, visitor or other person to provide information and statistics for the Quality Assurance Committee/Safety Committee and, if necessary, for litigation investigations.
• Size: 8 1/2" x 11" detached
• 2-part version: White/Canary carbonless stock
• 3-part version: White/Canary/Pink carbonless stock
• Black ink
• 2-part version: 100 per pack
• 3-part version: 250 per box