APPENDIX “3”
SIGN DESIGN & FABRICATION, INC.
SAFETY OR PROCESS IMPROVEMENT
NAME: _______________________________________ DATE: ________ (OPTIONAL BUT PREFERRED)
DESCRIPTION OF UNSAFE CONDITION OR PRACTICE or PROCESS IMPROVEMENT:
_________________________.
CAUSE(S) OR CONTRIBUTING FACTORS THAT SHOULD BE TAKEN INTO CONSIDERATION:
__________________________. SUGGESTION FOR IMPROVING SAFETY OR PROCESS:
_______________________________________________________. (If Helpful to you please draw a picture or diagram to describe situation)
265