Information
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Client
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Conducted on
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Prepared by Gavin Mcilwraith
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Fawley
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Personnel
Hazard Observation
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When was the hazard detected?
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Where was hazard detected
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Vestas or Muehlhan responsible
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Type of Report : Physical Hazard, Activity based Hazard or Improvement suggestion
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Details of report
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Take a photo?
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Has the hazard been fixed?
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How was the hazard fixed? Or what is required to fix the hazard?
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ALL HAZARDS MUST BE IMMEDIATELY REPORTED TO YOUR SUPERVISOR IN ADDITION TO SUBMITTING THIS FORM
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Within how many days should the hazard be attended to?
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Has your supervisor been advised?
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Name of Supervisor
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ALL HAZARDS THAT REQUIRE ATTENTION IN LESS THAN 1 DAY MUST BE FIXED IMMEDIATELY OR YOUR SUPERVISOR NOTIFIED IMMEDIATELY.
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Signature of Person Reporting Hazard
