OVR Report
No. 2
Status :
Incident Date : August 9, 2025
Incident Location : Split Water
Affected Individuals : Employee
Incident Description :
Split Water in operation room
Incident Time : August 14, 2025
MRN :
ID No: 34233423
Immediate Action Taken :
Called Cleaning Depart
Reporter Info
Submit Date : August 12, 2025
Reporters Name : Karim Moris
Reporters Email : mofata@yahoo.com
Reporter’s Mobile :
I undersigned hereby states that the above data are correct, and full information is included. Possible : I Agree
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Concerned Section
Reply Due Date
Concerned Email:
Incident Most Probable Causes :
Corrective/Preventive Action :
Submited by:
Concerned Email:
Incident Most Probable Causes :
Corrective/Preventive Action :
Submited by:
Concerned Email:
Incident Most Probable Causes :
Corrective/Preventive Action :
Submited by:
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