Registration Reporter Details Reporter Picture Size Restrictions: Please make sure the image size is equal to or larger than 150 by 150 pixels. Reported By (Full Names) Email* Mobile Number Incident Report Date of Incident* Tpye of Incident* Environmental Incidents (e.g weather conditions| spills| emissions) Vehicle Accidents (Car Crash) Injuries (workplace or other places with LXR related Asset) Salik Fine Dispute RTA Time of Incident* Location of Incident* Witnesses* Persons Involved Immediate Actions Taken* Root Cause* Description of Incident (Feel free to attached/Insert evidence)* Attach Photo Prove (if available) CORRECTIVE ACTIONS (Official Use Only) LXR Actions Approved By