staff_health safety_hazard_report | EzyStream

< Health & Safety

Hazard Report

Found a potential hazard? We need to know about it!

Name

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Email

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Today's Date

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Date hazard was identified

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Time hazard was identified

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Location of the hazard

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Describe the hazard

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Details about the hazard

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Can you recommend a solution?

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Declaration: I confirm the above report provides a true, accurate and complete account of the hazard.

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Address

Thanks. This hazard has been logged.

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