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EMPLOYEE'S NOTIFICATION OF POTENTL4L HAZARDS <br /> It is the right and duty of each employee to report each and every actual or potential hazard to <br /> their safety or health, or that of any fellow employee, of which he/she becomes aware. <br /> In order to facilitate this reporting, a supply of the following EMPLOYEE'S SAFETY <br /> SUGGESTION forms will be made available at each facility and at the main office. <br /> EACH EMPLOYEE MAY, OR MAY NOT, INCLUDE THEIR NAME ON THE REPORT AT <br /> HIS/HER OPTION. <br /> EMPLOYEE'S SAFETY SUGGESTION <br /> Employee's Name: Date: <br /> Supervisor's Name: Date: <br /> PRA CTICE OR CONTITION: <br /> SUGGESTION.• <br /> EXPECTED BENEFITS FROM CHANGE: <br /> M <br /> ACTION. <br /> Supervisor/Safety Coordinator: Date: <br /> Management Decision: <br /> Name: Date: <br /> Date of Final Action: <br /> 19 <br />