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Report an Incident

Use this form to report an incident involving Prime Allied Workforce (PAW) employees, candidates, contractors, clients, work locations, transportation activities, or other PAW-related operations. Please provide complete and accurate information to help PAW appropriately document, review, and respond to the incident.

Before submitting your report:
  • Provide as much factual information as possible, including the date, time, location, people involved, and a clear description of what occurred.
  • Describe what you personally observed or experienced. If information was provided to you by someone else, identify that when possible.
  • Include information about any injuries, property damage, safety concerns, witnesses, or immediate actions taken, when applicable.
  • Upload photographs, documents, screenshots, or other supporting information if the form provides an attachment option.
  • Do not intentionally include false, misleading, or unrelated information.
  • Submit one report per incident unless PAW instructs you to provide an additional report.
Emergency Notice

This form is not monitored as an emergency response service. If there is an immediate threat to life or safety, a serious medical emergency, fire, crime in progress, or another urgent emergency, call 911 or contact the appropriate emergency service first. After the immediate emergency has been addressed, you may use this form to document the incident with PAW.

What Happens After You Submit

After your report is submitted, PAW will document the information and route it for appropriate review. You may be contacted if additional information or clarification is needed. Submitting an incident report does not automatically mean that wrongdoing occurred or that disciplinary or corrective action will be taken. Reports are reviewed based on the information available and the circumstances involved. For compliance, ethics, discrimination, harassment, privacy, or other concerns that are not primarily incident/safety reports, please use the appropriate PAW compliance or reporting resource.

By submitting this form, I certify that the information I have provided is accurate and complete to the best of my knowledge.

Incident Report

Realtionship to PAW
Department
Incident Type
Date of Incident
Month
Day
Year
Time of Incident
Time
HoursMinutes
Were you directly involved?
Yes
No
Was anyone injured or ill?
Yes
No

If there are no injuries or illness details to report, please type N/A in this field.

Was property/equipment damaged?
Yes
No

If there are no property or eqipment damages to report, please type N/A in this field.

Were emergency services contacted?
Yes
No

If there are no emergency respose details, please type N/A in this field.

Were there witnesses?
Yes
No

If there are no witnesses, please type N/A in this field.

If there are no witnesses, please type N/A in this field.

Was this previosy reported?
Yes
No

If there are no previous reports, please type N/A in the field.

Attach any supporting documents, photos, or evidence related to the incident.

Please upload images or documents only.

Reporter Certification

By submitting this report, you acknowledge that PAW may review, document, investigate, and share relevant information with authorized personnel or other parties as reasonably necessary to evaluate and respond to the reported incident. Submission of a report does not, by itself, establish that a policy violation or wrongdoing occurred.

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