Miele - Unsafe Observation

To be completed by Miele Personnel

Name(Required)

First Last

Email(Required)

Date(Required)

Time(Required)

Location(Required)

Describe Observation:(Required)

File Upload

Max. file size: 500 MB.

Here you can Upload Images/Videos or Documents relating to Observations

Action Taken

Urgency of Situation

Low

Medium

High

Further Action Required

Yes

Who should this be reported to(Required)

First Name Last Name

Observers Signature(Required)