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Stier Clear to Safety
All employees are encouraged to report safety hazards..
Your Name ( Optional)
First Name
Last Name
Date
*
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Month
-
Day
Year
Date
Department
*
Your Location
*
SCDC
NCDC
GADC
Field
Other
Have you notified your Supervisor
*
Yes
No
Please describe the potential hazard or unsafe condition in detail.
*
Please describe your suggestion to improve safety conditions.
*
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