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Weekly Safety Status Report

This form is to be completed each business week prior to your last scheduled shift.
If there are any issues completing this form, please contact the EHS department at ehs@functionofbeauty.com

Have the followng been checked this week? (Check all that apply)

Safety Specialist Section

Check all that have been completed.

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Have Safety Concern Forms been submitted for all deficiencies noted?
Entering your name, email, and date denotes a digital signature and that the information contained in this form as submitted is accurate in good faith to the best of your knowledge.

Thank you for submitting. Contact the EHS Department if you have any questions, comments, or concerns related to this report.

Form Submission and Verification
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