Title Page
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Completed on
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Prepared by
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Participants
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Location
Observations
- Observations
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Identify any Safety concerns/observations
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Observation Location
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Observation Type
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Priority Level
- RAC 1
- RAC 2
- Rac 3
- RAC 4
- RAC 5
- Safety Standout
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Observation/ Safety Concern Identified
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Add media
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Suggested Corrective Action
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Responsible Command's Plan for corrective action