Incident Report Recommendation

INCIDENT REPORT RECOMMENDATION

RECITALS

WHEREAS, an incident identified by Incident Number: occurred at Location: on Date of Incident: involving Persons Involved: ;

WHEREAS, the Reporting Party has conducted an investigation and prepared findings as described in this Incident Report Recommendation to identify causal factors, recommended corrective actions, and any proposed remediation services or expenditures; and

WHEREAS, the Parties intend that the recommendations contained herein be considered for implementation by the Responsible Party or as the basis for a separate remediation agreement to mitigate recurrence, allocate costs, and assign responsibilities.

INCIDENT SUMMARY

SCOPE OF WORK — RECOMMENDED REMEDIATION

The Reporting Party recommends the following scope of corrective actions, inspections, or contracted services to remediate the conditions identified in the incident investigation and to reduce the likelihood of recurrence.

RECOMMENDED ACTIONS

ATTACHMENTS AND EVIDENCE

Check all attached materials that support the findings below:

Photographs   Incident Logs   CCTV Footage   Third-Party Reports

PAYMENT TERMS (IF APPLICABLE)

If implementation of recommended remediation requires engagement of contractors or purchase of services, the following payment terms apply to any separate remediation agreement formed on the basis of this recommendation:

TERM AND TERMINATION

The recommendation, and any remediation engagement entered into pursuant to it, shall be effective on Start Date: and shall continue through End Date: unless earlier terminated in accordance with the notice provisions below.

Either party may terminate a remediation engagement for material breach if the breaching party fails to cure within the notice period. Termination shall not relieve either party of obligations accrued prior to termination.

CONFIDENTIALITY

All non-public information disclosed in connection with the investigation, findings, and recommendations is Confidential Information. Each recipient shall:

(a) Use Confidential Information solely for evaluation and implementation of the recommendations; (b) restrict disclosure to employees, contractors, or advisors who have a need to know and who are bound by confidentiality obligations no less protective than those herein; and (c) not disclose Confidential Information to third parties except as required by law, provided the disclosing party is given prompt written notice and, where lawful and feasible, an opportunity to seek protective measures.

I acknowledge and agree to the confidentiality terms stated above.

GOVERNING LAW

This Incident Report Recommendation and any subsequent remediation agreement entered into on its basis shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

ENTIRE AGREEMENT

This document constitutes the entire Incident Report Recommendation between the Parties with respect to the subject matter herein and supersedes all prior written and oral communications regarding the incident and recommended remediation. Any subsequent remediation agreement shall incorporate the material terms of this recommendation only by written reference.

CERTIFICATION

I certify under penalty of perjury that the information contained in this Incident Report Recommendation is true and accurate to the best of my knowledge, that I conducted or supervised the investigation described, and that the recommended actions constitute a good faith effort to remediate the identified conditions.

Sign Now