Title Page
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Title
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Corrective action completed by
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Reported to manager
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Reported to worksite supervisor
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Conducted on
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Location
- Corrective action completed and details
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Insert reference number for each action to be completed e.g. title or sub category 1.1
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Corrective action completed or short term controls implemented (Add notes on action(s) completed)
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Management or staff comments
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Person responsible (name and signature)
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Sent to the following recipients (Insert names)