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Consumer must submit rebate form with product UPC barcodes cut from packaging original cash register receipt and/or dated itemized sales invoice. Print your completed rebate form and enclose in an envelope with the following required documents a. Original UPC barcode s cut from product packaging. 11596 P. O. Box 5017 Stacy MN 55078-5017 IMPORTANT Make photocopies of your entire submission for your records. Purchase must be made between August 1 2017 and December 31 2017 and the rebate form...

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How to fill out take 5

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Step 1: Start by gathering all the necessary information and materials needed to fill out the Take 5 form.

02

Step 2: Clearly write down the date and time of the task or activity that you are assessing.

03

Step 3: Identify the hazards associated with the task and record them in detail on the form.

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Step 4: Assess the risks involved in each hazard and determine the severity and likelihood of occurrence.

05

Step 5: Once the risks are assessed, implement control measures to mitigate the risks.

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Step 6: Evaluate the effectiveness of the control measures and make adjustments if necessary.

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Step 7: Communicate the identified hazards, risks, and control measures to all those involved in the task.

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Step 8: Sign and date the Take 5 form to indicate completion.

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Step 9: Review and update the Take 5 form as needed, especially if there are any changes to the task or conditions.

Who needs take 5?

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Workers who are involved in tasks that pose potential hazards and risks need to fill out Take 5 forms.

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Supervisors and managers also need to fill out Take 5 forms to ensure the safety of their team members.

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Any individual or organization that values safety and wants to assess and mitigate risks effectively can benefit from using Take 5.

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What is take 5?

Take 5 is a safety procedure used in workplaces to ensure that potential hazards are identified and addressed before starting a task.

Who is required to file take 5?

Workers in industries with potential safety hazards are required to file take 5 before starting a task.

How to fill out take 5?

To fill out take 5, workers need to identify potential hazards, assess the risks, implement control measures, communicate with others, and re-evaluate the safety measures.

What is the purpose of take 5?

The purpose of take 5 is to prevent accidents and injuries by raising awareness of potential hazards and implementing safety measures before starting a task.

What information must be reported on take 5?

Information such as identified hazards, risk assessment, control measures, communication plans, and safety evaluations must be reported on take 5 form.

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