Report an Unsafe Condition
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Title of unsafe condition
Report of an Unsafe Condition
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Select date
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Are you reporting a near miss, or reporting an observed at-risk condition?
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Where was this near miss or condition observed? Please include enough detail to accurately identify the location (I.e. closest column location; or reference (e.g. West Courtyard Offices).
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Describe the condition. Please include information to assist with effective analysis.
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Please add a photo
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Who did you notify?
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What did you do to resolve the condition?
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Signature
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To submit this report, press "Export" and e-mail to your specific site safety resource.
