Intake  

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If there is no specific incident date, please enter today's date





Below is the definition of the incident type selected




Other




Reporter & Contact Person

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Profit Center Info

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Workplace Injury/Incident
Accident Info

Use 24 hour clock



Event occurred at work or as a result of the work environment











Non Employee Injury
Injured Person Info

























AUS Mat Claims






Spills/Hot Liquids



Employee Injury
Employee Info

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Employee Accident Info

Use 24 hr clock


























Medical Info







Slip/Trip/Fall








Operator Only


Hotline / Global Security

Concerns are always confidential, and if you choose, you may report your concern anonymously.







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Manager Details

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Below are the definitions of the incident types selected
























































                                                                                                                                                                                                       

Operator Only






People Involved





Food Safety
General Details





Use 24 hour clock









Customer Information:




Medical Treatment













Incident Details:
Potential Foodborne Illness Foreign Object Allergic Reaction Other
Product Details










Use 24hr Clock

Enter # portions sold

External vendor





Aramark prepared







Reported Illness



Other 








Product

Instructions

This form should be submitted in the event of: 

1. A product food safety incident such as spoilage, mold, off-flavor, or discoloration. 

2. A foreign object/defect in a product such as wood, metal, plastic, or increased insect/worm activity in produce. It is critical that incidents are reported as soon as possible after the occurrence so the appropriate parties can take action to achieve satisfactory resolution.


What to expect: Once this intake form is submitted, it will be routed to your Director of Distribution who will then share with the relevant parties for a formal investigation. Once the investigation is complete to the satisfaction of Supply Chain, you will receive communication regarding the resolution and corrective actions taken.


Region Map of Directors of Distribution


Important Information:

  • It is important to provide accurate information and as much detail as possible to ensure a thorough investigation.

  • Lot code information is critical to enable traceability of the batch (where and when the product was produced) and to ensure proper credits. Lot Code Guidance; If lot code is not available, a QA investigation cannot proceed completely. Reach out to your distributor/supplier contact to request a credit or replacement. Your Director of Distribution will support with escalation as necessary. 
  • Place affected product on hold and retain cases/packaging. • Attach photos, invoice copies, and any other supporting documentation associated with this incident, as necessary
  • Fields with an asterisk are required. If you do not have the required information, contact your Director of Distribution for guidance.








see link above for lot code guidance







Foreign Object









(Provide a picture of the object next to a scale e.g. a coin or a ruler)
Allergic Reaction








Operator Only



Environmental















Auto Accident









Aramark Vehicle Info



XXXX ex 2010





Non-Aramark Vehicle Info


XXXX ex 2010











Non-Aramark Driver Info







Insurance Info








Non Aramark Driver



Conditions






Property Damage














Refreshments Water Leak



Equipment Info













Property Owner







Ocean/Marine










Click the magnifying glass to search for the name or start typing








Involved Parties









Operator Only




This will be emailed out to you, and available in GMM if not conducted now

SAFE Investigation

Equipment
Select all that apply 


Workplace Layout/Conditions
Select all that apply 

Floor Conditions
Select all that apply 

Environmental Conditions
Select all that apply 


Procedure or lack of
Select all that apply 


Personal Protective Equipment (PPE)
Select all that apply 


Other Contributing Factors
Select all that apply 

Attachments & Documents

Corrective Action