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SAFETY/SECURITY CONCERN REPORT NOTE: PRIOR TO FILING THIS REPORT YOU MUST TRY TO REMEDY THE SITUATION THROUGH NORMAL CHANNELS (I.E. INFORM YOUR SUPERVISOR, FILE A WORK ORDER, ETC.) Name: Dept: Date:
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How to fill out safetysecurity concern report

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How to fill out a safety/security concern report:

01
Start by providing your personal information such as your name, contact information, and job title (if applicable). This will help identify you as the reporter of the concern.
02
Provide the date and time of the observed safety/security concern. It is important to be as accurate as possible to facilitate any necessary investigations.
03
Clearly describe the safety/security concern in detail. Include specific information such as the location, nature of the concern, and any potential risks or hazards associated with it.
04
If there are any witnesses to the safety/security concern, include their names and contact information. This can help corroborate your report and provide additional information if needed.
05
If applicable, provide any supporting evidence or documentation such as photographs, videos, or relevant documents. This can help further illustrate the concern and provide a more comprehensive understanding.
06
Indicate any immediate actions taken, if any, to address or mitigate the safety/security concern. This can include notifying supervisors, initiating emergency protocols, or any other relevant steps taken to ensure safety.
07
Sign and date the report to certify its authenticity and acknowledge your responsibility in reporting the safety/security concern.
08
Submit the completed report to the appropriate department or authority, following the designated submission procedures.

Who needs a safety/security concern report:

01
Organizations: Companies, institutions, or any entity that aims to maintain a safe and secure environment need a safety/security concern report. This includes workplaces, schools, hospitals, governmental agencies, and other similar establishments.
02
Employees/Staff: Any employee or staff member who observes a safety/security concern has a responsibility to report it. This ensures that the concern is properly addressed and necessary actions are taken to maintain a safe environment.
03
General Public: In some cases, individuals who are not directly associated with an organization may come across safety/security concerns. They can report these concerns to the appropriate authorities, such as emergency services or local law enforcement, using the provided safety/security concern report.
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A safety/security concern report is a document used to report any issues or incidents related to the safety and security of a certain area, system, or organization.
Anyone who identifies a safety or security concern within their environment is required to file a safety/security concern report.
To fill out a safety/security concern report, one must provide detailed information about the concern, including the date, time, location, description of the incident, and any relevant supporting documentation.
The purpose of a safety/security concern report is to ensure that any safety or security issues are promptly addressed and resolved to prevent further incidents or risks.
Information such as the date, time, location, description of the incident, potential causes, and any actions taken or recommended to address the concern must be reported on a safety/security concern report.
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