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Honolulu Community College (Honolulu Community College)

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Report of Hazardous Condition
Honolulu Community College
DATE OF REPORT:
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HAZARD DESCRIPTION: ______________________________________________________________________
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HAZARD LOCATION: __________________________________________________________________________
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HOW DO YOU THINK THE HAZARD CAN BE CORRECTED?
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WOULD YOU LIKE TO BE INFORMED OF THE ACTION(S) TAKEN?
NAME: ______________________________________________________
E-MAIL:_______________________________________________ TEL: ________________________
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Return the form to Chulee Grove’s mailbox or via E-mail, chulee@hawaii.edu.
HonCC Health & Safety Policy, 2018
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Completed 25 July 2020

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