Department Store Health and Safety Form
Department Store Health and Safety Form
Please complete this form to help us maintain a safe environment for everyone.
Date & Shift Time
Employee Name
Department
Incident Report
Severity of Hazard
-
Low
-
Moderate
-
High
Witnesses (Optional)
Action Taken
Additional Comments
Employee Name:
Date:
Supervisor Name:
Date:
Department Store Templates @ Template.net
Thank you for your submission!
We appreciate you taking the time to submit.
Create free forms at Template.net
