Safety Suggestion Form

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SAFETY SUGGESTION FORM
The guidelines for our company safety program include providing the opportunity for all
employees to make suggestions and recommendations concerning safety and health.
(This form is for items not requiring a work order.)
Date:
Name:
Employee Number:
Department:
Suggestions/Comments:
Response:
Signature:
Return your suggestion form to Human Resources with your name and department in case a response is needed.

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