Environmental Health, Safety, and Risk Management
Report of Unsafe Condition or Hazard
| Type | ID | Label | Required (Yes/No) |
|---|---|---|---|
| text | date | Date: | no |
| text | ContactPerson | Contact Person: | no |
| text | Contact Email: | no | |
| text | job | Your Job Title: | no |
| text | Phone | Phone Number/Mail#: | no |
| text | Department | Department: | no |
| text | location | Location (Building, Room #, Specific Location): | no |
| paragraph_text | Description | Description of Unsafe Condition or Hazard: | no |
| paragraph_text | recommendation | What changes would you recommend to correct the Unsafe Condition or Hazard?: | no |
| text | deandirector | Dean/Director/Chair's name and email address: | no |
| Report of Unsafe Condition or Hazard |
http://webdev.fresnostate.edu/adminserv/ehsrm/hazard/thanks.shtml |