Contact information
*
Name of the person reporting the incident
*
E-mail address of the person reporting the incident
Details
*
When did the discrepancy happen?
1.
2.
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4.
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Jan
Feb
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Apr
May
Jun
Jul
Aug
Sep
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Nov
Dec
*
Where did the discrepancy happen?
Annet sted
DNR - OUS - Radiumhospitalet
FG18 - Falbes gate 18
FG5 - Falbes gate 5
FV7 - Filipstadveien 7
FYR - Fyrhuset/Pilestredet 52
HA22 - Hagegata 22
HG1 - Holbergs gate 1
HS75 - Holmliaveien 75
KU55 - Kunnskapsveien 55
MA4 - Malmskriverveien 4
OS4 - Otto Sverdrups plass 4
P32 - Pilestredet 32
P35 - Pilestredet 35
P38 - Pilestredet 38
P40 - Pilestredet 40
P42 - Pilestredet 42
P44 - Pilestredet 44
P46 - Pilestredet 46
P48 - Pilestredet 48
P50 - Pilestredet 50
P52 - Pilestredet 52
PP33 - Pilestredet Park 33
PP35 - Pilestredet Park 35
S2 - Silurveien 2
SG26 - Stensberggata 26
SG29 - Stensberggata 29
SOG32 - St. Olavs gate 32
UG2 - Universitetsgata 2
Do you have any additional information relating to the place where the discrepancy happened?
*
What happened?
*
Did the incident cause personal injury?
No
Yes
What is the role of the person injured?
Employee
Student
Visitor
Did the injury result in any absence or doctor’s appointment?
No
Yes
Is the person reporting the incident, also the person injured?
No
Yes
What is the injured persons name?
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