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FORM: G (Rev. 11/04) UCSB Injury and Illness Prevention Program HAZARD REPORTING FORM UCSB employees and students may use this form to report any unrecognized, or uncontrolled safety issues to Environmental

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What is hazard reporting form?

Hazard reporting form is a document used to report potential hazards or unsafe conditions in a workplace.

Who is required to file hazard reporting form?

All employees and contractors who identify a potential hazard or unsafe condition are required to file a hazard reporting form.

How to fill out hazard reporting form?

To fill out a hazard reporting form, you need to provide details of the hazard or unsafe condition, location, date and time of identification, and any additional information or observations.

What is the purpose of hazard reporting form?

The purpose of a hazard reporting form is to ensure the prompt identification and reporting of potential hazards or unsafe conditions to prevent accidents and maintain a safe working environment.

What information must be reported on hazard reporting form?

The hazard reporting form must include details of the hazard or unsafe condition, location, date and time of identification, and any additional information or observations.

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