LLLL Hazard ID Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Hazard ID

• At what field is the hazard located?

  Select Jeff Cobb Jack Jennings Pioneer Claude Moore Forest Grove Elementary Guilford Elementary Lowes Island Elementary Meadowland Elementary Potowmack Elementary Rolling Ridge Elementary Sterling Elementary/Foltz Sterling Middle

  • Jeff Cobb
  • Jack Jennings
  • Pioneer
  • Claude Moore
  • Forest Grove Elementary
  • Guilford Elementary
  • Lowes Island Elementary
  • Meadowland Elementary
  • Potowmack Elementary
  • Rolling Ridge Elementary
  • Sterling Elementary/Foltz
  • Sterling Middle

• Provide picture of the hazard if possible.

• Add media

  Media

• Date/Time

  Date

• Was coach informed of hazard?

  Yes

  No

• Would you like a follow-up from League Safety Officer?

  Yes

  No

• Please provide preferred contact info (email, phone, text message):

• Thank you for making LLLL a safer place to play!