Medium

Available on

Apple Android Windows

Gas-Related Injury Report (United Kingdom) Mobile App

This injury report records information about the time and place of the injury, as well as the status of the injured person(s), and the state of the property. This app can be easily modified to fit your needs.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Gas-Related Injury Report (United Kingdom) Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Full name

  • Ico textbox

    Job title

  • Ico textbox

    Phone number

  • Ico textbox

    Organisation Name

  • Ico multiline

    Address

  • Ico textbox

    Fax number

  • Ico textbox

    Email

  • Ico textbox

    On what date did the incident happen?

  • Ico dropdown

    What was the main cause of the incident?

  • Ico multiline

    Where did the incident happen?

  • Ico textbox

    In which local authority did the incident happen?

  • Ico textbox

    Was it in a building?

  • Ico dropdown

    If yes, what type of building?

  • Ico dropdown

    And in what room?

  • Ico textbox

    Full name of the person living in the premises?

  • Ico textbox

    Is the resident contactable?

  • Ico textbox

    Full name

  • Ico textbox

    Phone number

  • Ico multiline

    Address

  • Ico textbox

    How many people died?

  • Ico textbox

    How many people suffered major injury?

  • Ico multiline

    People injured as a result of the incident (Full names)

  • Ico multiline

    Describe what happened

  • ...and More!

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