Get the free HAZARD NOTIFICATION FORM - Spokane Public Schools - spokaneschools
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HAZARD NOTIFICATION FORM
— For Physical & Environmental Hazards SECTION ONE — General Information.
Date
School/Building
Room #
Hazard Reported by:
Telephone No.
Position/Title:
ATTENTION:
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How to fill out hazard notification form
How to fill out hazard notification form:
01
Start by accessing the hazard notification form. This can usually be obtained from your employer or the relevant authority responsible for workplace safety.
02
Carefully read through the instructions provided on the form. Familiarize yourself with the purpose of the form and the information it requires.
03
Begin by providing your personal information. This may include your name, job title, contact information, and employee identification number, if applicable.
04
Identify the hazard or potential hazard you are reporting. Describe the nature of the hazard, its location, and any specific details that may be relevant.
05
Indicate the severity of the hazard. Assess the risk level associated with the hazard and specify whether it poses an immediate danger or is a potential risk.
06
If applicable, suggest any corrective actions that can be taken to mitigate the hazard or prevent it from occurring again in the future. Provide detailed recommendations to ensure a proper understanding of the necessary steps.
07
Sign and date the form to acknowledge that the information provided is accurate and complete.
Who needs hazard notification form:
01
Employers: Employers need hazard notification forms to ensure they are aware of potential hazards in the workplace. This allows them to take necessary actions to address the hazards and maintain a safe working environment for their employees.
02
Employees: Employees who identify hazards or potential hazards in the workplace should fill out a hazard notification form. By doing so, they can alert their employers to the existing or potential risks, promoting a safer work environment.
03
Health and safety authorities: Authorities responsible for overseeing workplace safety may require the use of hazard notification forms as part of their regulatory compliance. These forms help them gain insight into the hazards present in various industries and enable them to enforce safety standards effectively.
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