Hazard Report for AustChilli Group
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1. HAZARD DETAILS
Facility: *
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Hazard Location *
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Date of Report *
MM
/
DD
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YYYY
Time of Report *
24-hour time format
Time
:
2. DESCRIPTION OF HAZARD
(add as many relevant details as possible)
Details: *
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3. CORRECTIVE ACTIONS
Details *
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REPORTING AUTHORITY
Reported by: *
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Report Date: *
MM
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DD
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YYYY
Reported To: *
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Reported To Date: *
MM
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DD
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YYYY
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