Feedback Form
Here at HS2 we appreciate your feedback and would like to hear about any Near Misses, Incidents, Feedback and Observations: Please complete this form with as much detail as possible.
Auto completed date and time
-
Day
-
Month
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Name: Optional
First Name
Last Name
Who do you work for?
Balfour Beatty
Vinci
Subcontractor
Client
Other
Select from dropdown menu
Select type of observation
Select location of observation
Catagorise the observation/ select applicable
In your opinion how would you rate this issue?
Please decribe the observation. Be as descriptive as possible. Why not add a photo!
Why not add a photo
Please recommend a way of closing out the above.
Please leave your phone number if you'd like to be contacted about this.
Would you like a copy of this observation?
Yes I would you like a copy of this observation.
No thanks I get enough email already.
Enter your email to be sent a PDF copy of the observation
example@example.com
Submit
Back
...................................................................................................................
Feedback
Submit Managers feedback
Should be Empty: