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HAZARD RECOGNITION REPORT
DID YOU SEE A HAZARD TODAY?
First Name :
*
Last Name :
*
Project Name :
*
Employee Id :
Date :
*
Time :
AM
PM
What did you see?
*
Action Taken to Correct/Prevent a Similar Incident:
Who did you talk with concerning the hazard?
N/A
Upload Files :
(Upload only pdf or image file)
Foreman Email:
Other Email:
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