OSH (Unsafe Act & Unsafe Condition) & (Complaints & Suggestions)
We would love to hear your thoughts or feedback on how we can improve our implementation of Occupational Safety & Health
You can either :
1. Report unsafe act & unsafe condition & propose its corrective action
2.Give suggestions for improvement
3.Complaints on any issues related to Occupational Safety and Health & suggestion on how to improve it

Let us know when is your entry date so that we can improve our reaction time.

We do encourage you to leave your name & phone number for us to contact you. A token of appreciation will be given. But if you want to remain anonymous, no problem, we respect your choice.

Thank you in advance for your cooperation

Date
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YYYY
Unsafe Act & Unsafe Condition
Your answer
Proposed Corrective Action for Unsafe Act & Unsafe Condition
Your answer
Suggestions for improvement
Your answer
Complaints
Your answer
Suggestions for Complaints
Your answer
Report on any near miss incident
Your answer
Name & Phone No (Optional)
Your answer
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