Risk Management Information System

7/28/2015

Report Incident : Incident Management : Intelex 6.4.9.0
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Secretary of the Navy

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Home > Report Incident

(UTC­05:00) Bogota, Lima, Quito, Rio Branco
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New Incident Report v1.1
 Submit  |  Save | Save & Exit | Save & Add Entry | Spell Check | Cancel | Save & Continue  

Instructions
Step 1. Complete the Incident/Event Details section
Step 2. Click 'Save and Continue' button
Step 3. Continue to complete subsections by clicking 'Add Entry' button

Initial Notification
Record No.
^ Mishap Category
* Reporting
Command
Narrative

Date and Time

Due Date
Controlling
Command

Reporting Command/Installation

N31698 ­ Secretary of the Navy
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Exclude PII, Max characters: 100

Send Notification

Local to Incident Location

Factor Count
(Helper)
Recommendation
Count (Helper)

Incident Location

Mishap Subcategories


^ Weapons
Involved

Mishap Severity
* Severity
Indicator

* Not a mishap ­ Auto Populated

 Class A
 Class D

 Class B
 Hazard

^ DoD Property
Damage

 Class C
 Not a
mishap (not
reportable)
^ Non­DoD
Property Damage

Injury/Fatality
Injury/Illness
Involved

http://cloud.intelex.com/synerena/Application/hciMastIncdntv6

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7/28/2015

Report Incident : Incident Management : Intelex 6.4.9.0

Weather/Environment

Persons Involved

Property Involved

Communities of Interest

Assistance
Workflow Fields
Person Responsible

Save & Continue 

Testing

Units Involved

Coordination

Command Safety

Sequence of Events/Lines of Evidence/Evidence

Hazard Assessment

Bug Reporting

Administrators Only

Request Details

Save & Continue 

Endorsement Plan
The collection of information by the Risk Management Information (RMI) system has been approved by the Office
of Management and Budget (OMB), and assigned OMB Control Number 0307­XXXX.

Copyright Intelex Technologies 1994 ­ 2015 | Privacy Policy

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