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Health and Safety Plan <br /> 1319 & 1327 South Madison Street, Stockton,CA <br /> 432770 <br /> IIPP FORM 2: hazard CorreCtion Report <br /> DEPARTMENT; <br /> This form should be used in conjunction with the"Report of unsafe Condition"form (IIPP <br /> Form 1),as appropriate,to track the correction of Identified hazards. <br /> All hazards should be corrected as soon as possible,based on the severity of the hazard.If a <br /> serious Imminent hazard cannot be immediately corrected, remove personnel for the area <br /> and restrict access until the hazard can be addressed. <br /> Su PERVISOR'SAFETYCOO ROMATOR NAME: AEI BRANCH LOCATION: <br /> SUPEnISORJSAFETY Coo PDwAmASIGNATuPE: DATE: <br /> DESCRIPTION AND LocATION DATE REQuiREDAcTION AND COMPLETION DATE <br /> OF UNSAFE CONDITION DLscovERED RE.sPQN5IBLE PARTY PROJECTED ACTUAL <br /> AD 11calth A Safety,Injury A Minos PrarcrrWn Pmgram Page 123 <br /> Revised 5/18/2013 <br />