.07 Reportable Condition Report Form.

An operator shall ensure that:

A. Any reportable condition described in Regulation .06 of this chapter is reported to the Department on a form prescribed by the Department;

B. Each report form is:

(1) Completed in duplicate; and

(2) Signed and dated by the person completing the form;

C. The original report form is maintained for at least 3 years; and

D. A copy of the report is forwarded to the Department with personal identifiers removed to maintain confidentiality.