WORK-CONDITION EVIDENCE — ORIGINAL RECORD
Work question and decision sought:
Affected work group/shift/period:
Source/approved reference/date/coverage:
Unit/denominator/definitions:
Actual observation; separate from proposed explanation:
What it cannot establish:
Missing or contradictory evidence:
Who can check that gap and through which approved route:
Worker/representative account and scope:
Proposed work change; not yet approval:
Decision owner/next check/review point:
No clinical score, automatic causal conclusion or anonymity guarantee.