Environmental Health and Safety

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Employee ID	* ^Please provide a valid input	Department Name
Employee Status Faculty Student Others
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Failure to lockout	Improper maintenance	Poor housekeeping
Failure to secure	Improper protective equipment	Poor ventilation
Horseplay	Inoperative safety device	Unsafe arrangement or process
Improper dress	Lack of training or skill	Unsafe equipment
Improper guarding	Operating without authority	Unsafe position