Health & Safety Committee Member Exit Form
Health & Safety Committee Member Exit Form
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Name |
Position/Title |
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Department |
Duration on Committee |
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Reason for Leaving |
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CONTRIBUTIONS AND EXPERIENCE
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Please describe any significant contributions you have made to the Committee. What did you find most rewarding during your time on the Committee? |
FEEDBACK ON COMMITTEE OPERATIONS
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How effective do you believe the Committee is in promoting health and safety in the workplace? What improvements, if any, do you suggest for the Committee’s operation? |
ACKNOWLEDGMENT
I confirm that the information provided in this form is accurate and reflects my experiences and opinions as a member of the Health & Safety Committee.
[Month Day, Year]
