VOLUNTARY HAZARD REPORT FORM

    The information supplied in this form will only be used to enhance safety. You may choose not to provide your details. If you do provide your details, upon receipt of this form your identity will be removed and discarded. Under no circumstances will your identity be disclosed without your express permission.

    You can submit this form with the relevant details to qa@aerosyatemsnepal.com. It may also be dropped in the drop box provided by the organisation.

    Originator Data:





    Hazard Identification Details:




    Please fully describe the safety issues: