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ERAT, RS Pilot/Aging J-Ripon 0618 COVIetedsectons to any.The"Entry ir box is to note the otr wcuthre nurntwof each entryr� than one in ).The to be only g a : Is caped upon to Rev.09/i417d14ti the aim "C �"g that Is .t rweckhse r• 'S0 'Be sure to check t�e'R bar when to owxWon triggering the Wwm has bo*n addressed.UnIA Own,the Issue should be checited as•Pendkig T gat of this form ld to recall einvinanmental alanns plus their r4solutions.Resolutions should be specific,such asremoved re or than vat such as IM or'called wnhdv.'If a work order more be sure the record the work order#. an entry should rote their name In the Itecorded Bir bac.Write 69ft and and whh the alarm and the resokition wilhout leaving out hporlant the inaldeot.The space provided should be sufficient In most cases,but ff Is not aMM a separate piece of paper. Respotise ContractorCo • one ❑Self- ❑Calla in . Date Time Alarm Screen Readi Incident Details and Initial Step(s) Taken Recorded BY: �s rV , Date Time -"ollow Up S s T ken to Resolve Ala#m Trigger Recorded BY: Current Status Cause:of Alarm ffas Product Released?)I Cc4nments and Further Actions N ❑Pending ❑Resolved No release ❑Con 'rted release ❑UnconoinW relawe ❑ ❑CdW in Time Alarm Screen Reading,IncidentOetalle and Initial Rosponee Ste s Taken Recorded By: bt�o L --A- Wn�) VO wcA akckyo-N I\j Date: Time Follow Up SAga)Taken to Resolve Alarm Reco B Wad& AW& Cuftent Status Cause of Alarm&as Pro uct Released?)I Comments and Furthat Actiom No D a ❑Pending ❑Resolved ❑No release ❑Contained release ❑Un= 11 SeN-nwnaged ❑Cded in. Date ( Time "�' Alarm Screin Read) Incident D lle and Initial Response St s Taken Recorded By: 10 ,' . t v"�V t ca(�r n JP Date Time Follow Up Step(s) Taken to Resolve A! rm Tirigger Re0orded @y: Current Status Cause of Alarm&As Product Reused?)!Comments and Further Actions Necessant 0 PendI60 Relived 13No irelease 0 Containedmiewe 13Unountained relewe