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Hazard Control Log (ORM Form HC-1-90)
Form used to address potential hazards in the workplace.
Handle: Document-3687
Owner: Laiche, Karen (User-23, klaich:DocuShare)DS
Wednesday, June 17, 2009 02:17:43 PM CDT
Wednesday, June 17, 2009 02:17:43 PM CDT
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  • HAZARD CONTROL LOG HC-1-90 DEPARTMENT: AGENCY: LOCATION: DATE: DATE HAZARD IMMEDIATE TEMPORARY CONTROL LONG-TERM SOLUTION HAZARD DETECTED PRIORITY SCHEDULED/DATE COMPLETION HAZARD NOT CORRECTED AFTER 30 DAYS SEND LOG TO: OFFICE OF RISK MANAGEMENT, LOSS PREVENTION SECTION P.O. BOX 91106 BATON ROUGE, LOUISIANA 70821-9106 SAFETY PAYS PRIORITY E = EMERGENCY C = ONE MONTH A = TODAY D = THREE MONTH B = ONE WEEK REVIEWED BY: DATE: REVIEWED BY: DATE:
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Microsoft Office Word (.doc, .dot) - application/msword
ORM Form HC-1-90 Hazard Control Log.doc
4
41984
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Appears In: ALL FORMS - Alphabetically Listed by Form Title DELGADO FORMS SAFETY FORMS
Preferred Version: Hazard Control Log (ORM Form HC-1-90)