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Type of Equipment: Manufacturer: Date Purchased: Serial #: Record of Safety Inspections/Calibrations DATE OF LAST INSPECTION INSPECTED BY Record of Repairs DATE PROBLEMS REPAIRS MADE BY Infinity Rehab
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How to fill out the 617 record of safety?

01
Gather all necessary information: Before filling out the 617 record of safety, ensure you have all the relevant information at hand. This may include details about the safety incident, the individuals involved, any witnesses, and the date and location of the incident.
02
Complete the incident details: Start by filling out the incident details section of the 617 record of safety. This typically includes providing a brief description of the incident, identifying any injuries or damages, and noting the severity of the incident.
03
Provide all relevant information: Make sure to include all the necessary information in the record. This may include any contributing factors to the incident, any safety precautions or equipment involved, and any corrective actions taken to prevent future incidents.
04
Include witness statements: If there were any witnesses to the incident, it is essential to document their statements in the 617 record of safety. This helps provide a comprehensive overview of the incident and any potential causes or factors.
05
Sign and date the record: Once you have filled out all the necessary information, ensure that the record is signed and dated by the appropriate individuals. This may include the person who experienced the incident, any supervisors or managers involved, and any witnesses who provided statements.

Who needs the 617 record of safety?

01
Employees: The 617 record of safety is crucial for employees who have experienced a safety incident or accident. It allows them to document and report the details of the incident accurately.
02
Employers: Employers have a responsibility to maintain a safe working environment for their employees. The 617 record of safety helps employers keep track of incidents, identify patterns, and take necessary corrective actions to prevent future incidents.
03
Safety committees: Safety committees within organizations play an essential role in monitoring and promoting a safe working environment. The 617 record of safety provides them with valuable information to analyze safety trends and develop strategies for improvement.
04
Regulatory authorities: Depending on the industry and location, regulatory authorities may require organizations to maintain records of safety incidents. The 617 record of safety serves as a vital document for compliance and auditing purposes.
05
Insurance companies: Insurance companies often require organizations to provide detailed records of safety incidents as part of their risk assessment process. The 617 record of safety helps insurance assessors understand the organization's safety practices and determine appropriate coverage and premiums.
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The 617 record of safety is a form used to report safety information about a particular workplace or job site.
Employers are required to file the 617 record of safety for their workplace or job site.
The 617 record of safety can be filled out online or in person using the required safety information fields provided on the form.
The purpose of the 617 record of safety is to ensure that workplaces and job sites are following safety regulations and standards to protect workers.
Information such as safety hazards, safety precautions, and safety training must be reported on the 617 record of safety.
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