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i <br /> II. Corrective Action - Response <br /> What Corrective Actions Will Prevent Another Occurrence: <br /> 3 <br /> Will an Additional Code of Safe Practice Be Needed? <br /> ❑ Yes ❑ No <br /> If So, State It: <br /> i <br /> Was the Unsafe Condition, Practice or Protective Equipment Problem Corrected.Immediately? <br /> ❑ Yes ❑ No <br /> If No, What Has Been Done to Assure Correction <br /> Until Corrected, What Actions Have Been Taken lo Prevent Recurrence in the Interim? <br /> Will the Inspection Checklist for the Area Require Modification to Prevent Recurrence? <br /> ❑ Yes ❑ No ❑ Not Applicable <br /> If Yes, What Will Be Added? <br /> Signature of Investigator: Date <br /> Person Responsible for Corrective Actions: <br /> Date Copy of This Report Received by Above Persons: <br /> Signature of Person Responsible forCorrection: <br /> �. Management Approval: <br />