APPENDIX “3” SIGN DESIGN & FABRICATION, INC. SAFETY OR PROCESS IMPROVEMENT SUGGESTION FORM

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)

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