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:
Allowed
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ORM Form HC-1-90 Hazard Control Log as of 2-23.pdf