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What temporary measures have been taken to prevent reoccurrences <br /> of incident : <br /> Will the inspection checklist for the area require modification <br /> to prevent reoccurrence ( yes/no) : <br /> If so , explain what will need to be added : <br /> Signature of Investigator Date <br /> Responsible person for corrective actions : <br /> Copy of this report received by the above person on (date) : <br /> !�S <br /> Responsible person for corrections Date <br /> Management approval : r <br /> Page - 31 <br />