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IA Division of Safety and Risk Management 07/2023 version. S. Department of the InteriorNOTICE OF HAZARDDate:** MUST REMAIN POSTED UNTIL CONDITION IS ABATED ** Regionals Site Building #AgencyFMIS
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How to fill out notice of hazard form

01
Obtain the notice of hazard form from your organization or download it from the official website.
02
Fill in the date and time of the hazard occurrence.
03
Describe the hazard in detail, including its location and potential consequences.
04
Identify any existing safety measures in place to mitigate the hazard.
05
Sign and date the form to certify the information provided.

Who needs notice of hazard form?

01
Employees who have witnessed or identified a hazard in the workplace.
02
Employers who need to document hazards for OSHA compliance.
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A notice of hazard form is a document used to report potential hazards or safety risks in a workplace or public area, usually aimed at alerting relevant authorities or stakeholders.
Individuals or organizations that identify a potential hazard in the workplace or public environment are typically required to file a notice of hazard form.
To fill out a notice of hazard form, provide details such as the nature of the hazard, location, date of occurrence, and any corrective actions taken or recommended.
The purpose of a notice of hazard form is to formally communicate identified risks to appropriate authorities in order to ensure safety and prevent accidents.
The form must report information such as the description of the hazard, its location, the date it was observed, and any steps taken to mitigate the risk.
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