Audit
OPPORTUNITY FOR IMPROVEMENT FIELD FORM
Complete the form and forward it to the Division Safety Manager.
Date:
Name of Originator (type here or use "Sign" function to write below):
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Division:
The following situation presents an opportunity for improvement:
Impact (check ALL that apply):
- Cost
- Safety
- Client Satisfaction
- Reduce Risk
- Employee Satisfaction
My suggestion for a possible solution is:
Supervisor's comments:
Send completed form to Division Safety Manager. Thank you!
