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SECTION 7 REPORT PREPARER S INFORMATION Print Name Title Sign Prep. Date Phone SECTION 8 ASSESSMENT AND CORRECTIVE ACTIONS For Sac State employee injuries Section 8 is to be completed by the employee s MPP or HEERA-designated supervisor. Potential Cause of Incident Action s Condition s Exposed electrical wiring Bypassed safety device Defective tools or equipment Equipment failure to secure Hazardous arrangement Equipment improper positioning Fall hazard Equipment used inappropriate equipment...
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