Employee Reporting Program Safety is a major concern for us and this is a form you can use to report conditions you feel are unsafe. Your feedback is very important to us. It helps us meet our goal to provide safe, reliable, clean, and accessible service. Please fill out the form below and click the submit button at the bottom. Fields marked with * are required. County* ClarkCrawfordCumberlandEdgarEdwardsEffinghamGallatinHamiltonHardinJasperLawrencePopeRichlandSalineWabashWayneWhiteWilliamson Date* Time* Type of Report Hazard ReportAccident/IncidentNear MissSafety SuggestionsOther Potential Injury Trip/Slip/FallStrain/SprainCuts or AbrasionsElectricalProperty DamageVehicle DamageOther Your Name Your Email Phone Number Your Message* Δ