Company
_____________________________________________________________ Date
_______________ |
Address _____________________________________________________ Time Meeting Opened ___________ |
City _____________________________________ State
_______________________ Zip _________________ |
Members Present: ________ Absent: ________ |
|
|
Minutes of previous meeting dated ____________________
were read. |
Comments:
_______________________________________________________________________ |
1. Old business and status of recommendations not
disposed of with target dates for completion: |
|
RECOMMENDATIONS COMPLETED SINCE LAST MEETING: |
|
|
2. ACCIDENTS: The following accidents which occurred
since the last meeting were discussed. |
Date of Injury Employee Cause Recommendations |
|
|
3. INSPECTION REPORTS/NEW BUSINESS: |
|
|
4. NEW RECOMMENDATIONS (number consecutive from
previous recommendations and describe): |
|
5. OTHER COMMITTEE REMARKS: |
|
|
Meeting Adjourned: ___________________________ Next Meeting to be held:
___________________________ |
Signed: _____________________________________ |
Secretary of Committee
|
Additional Remarks:
|
Newsletter
RSS Feeds
Print This Page
Text Size
