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Environmental Health and Engineering Directors ... Phone: (850) 245-4070 Fax: (850) 922-6969 http://www.MyFloridaEH.com. Page 2. The attached Evaluation of Onsite Sewage (Septic) and Water Supply
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Memo hses 11-003 is a form used to report health and safety incidents or hazards in the workplace.
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Employers and employees who witness or are involved in health and safety incidents are required to file memo hses 11-003.
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Memo hses 11-003 must be filled out with details of the incident or hazard, including date, time, location, individuals involved, and actions taken.
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Information such as date, time, location, individuals involved, description of incident or hazard, and actions taken must be reported on memo hses 11-003.
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