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MASS Use Only: Social Security #: HOMOS Use Only Referral Date: Screening Date: Parent Survey Date: Assigned to: Status: HIM Referral/CQI Form 1B Revised 03082017-Page 1 of 2Healthy Families Mississippi
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hhm-fss use only stands for Hard Hat Mandatory - Full Safety Shoes, use only.
All employees and visitors on the designated premises are required to adhere to hhm-fss use only guidelines.
To fill out hhm-fss use only, individuals must wear hard hats and full safety shoes at all times while on the specified premises.
The purpose of hhm-fss use only is to ensure the safety of everyone present on the premises by requiring the use of hard hats and full safety shoes.
The information reported on hhm-fss use only includes details about who is wearing hard hats and full safety shoes on the premises.
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