CALLAHAN PAVING | TRIMESSINE CONSTRUCTION CORP
HASP
Health and Safety Program
ADMINISTRATOR LOGIN
REPORT AN INCIDENT
Date: Jan 11, 2026
Incident Type:
Injury
Accident
Damage
Other
Incident Details:
Employee Name:
Foreman/Supervisor:
Incident Date:
Time:
Location:
Witness:
Reported To:
Description on Accident/Incident:
Damage to Equipment/Vehicles, etc:
Type of Injury Sustained:
Treatment for Injury Sustained:
First Aid
Hospital
Doctor
Other
Name of Doctor or Hospital (if applicable):
Lost Time:
Date: Jan 11, 2026
Signature of Employee:
Signature of Foreman: