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NOTICE OF HAZARD/CONCERN/ NEAR MISS Do not use this form to report a serious/ emergent safety issue. In the event of an emergency, contact your Principal/ Vice Principal immediately. Name (not required)
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How to fill out notice of hazard

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How to fill out a notice of hazard:

01
Begin by clearly stating the purpose and title of the notice at the top. For example, write "Notice of Hazard" in bold letters.
02
Include your name and contact information. Provide your full name, address, phone number, and email address. This will allow authorities or concerned individuals to reach out to you for more information if needed.
03
Describe the hazard in detail. Use clear and concise language to explain the nature of the hazard, its location, and any potential risks or dangers it poses. Include specific details such as the time it was first noticed and any relevant incidents that have occurred.
04
If possible, include photographs or visual evidence of the hazard. This can help authorities or others better understand the situation and take appropriate action. Make sure the photographs are clear and highlight the hazard effectively.
05
Indicate any measures or actions that have already been taken to address the hazard. For example, if you have contacted local authorities or taken temporary steps to mitigate the risk, mention those efforts in the notice.
06
Specify the desired outcome or action you are seeking. Clearly state what you would like to happen in response to the notice, such as repairs, inspections, or additional safety measures. Be realistic in your expectations and try to suggest practical solutions.
07
Finally, sign and date the notice. This adds credibility to your claims and shows that you take the issue seriously.

Who needs a notice of hazard:

01
Landlords or property owners: If there is a hazardous condition on their property, they need to be alerted so that they can take appropriate measures to address the issue and ensure the safety of their tenants and visitors.
02
Local authorities: Notifying local authorities, such as the municipal or city council, is crucial to ensure that they are aware of potential hazards and can take swift action to rectify the situation. This can help prevent accidents or injuries in public spaces.
03
Workplace supervisors: In a professional setting, supervisors need to be informed about any hazards that may affect employees' health and safety. This allows them to take necessary steps to reduce or eliminate the risk, such as implementing safety protocols or conducting inspections.
04
Community members: If a hazard is present in a public area, it affects the entire community. Alerting community members through notices or public announcements can help raise awareness and encourage collective efforts to address the hazard.
In conclusion, filling out a notice of hazard involves providing detailed information about the hazard, including contact details, photographs, and any actions taken. The notice should be directed towards landlords, local authorities, workplace supervisors, and community members to ensure swift action and maintain safety for all.
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The notice of hazard is a form used to report potential hazards in the workplace.
Employers are required to file notice of hazard to ensure workplace safety.
Notice of hazard can be filled out by providing details of the potential hazard and proposed corrective actions.
The purpose of notice of hazard is to identify and mitigate potential risks in the workplace.
Information such as description of hazard, location, affected employees, and corrective actions must be reported on notice of hazard.
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