ࡱ> JLI5@ 0\bjbj22 p2XX^^^^^^^$P6$Z\ RL$e!R#^^^X^^^^ (qFfd0 7$7$^^^^7$^$dvX DATE: _____________ RECORD AND STATUS REPORT FORM (PART I) Person in charge:_____________PRIVATE  PRIVATE CORRECTIVE SAFETY ACTION PLANS TO REDUCE RISK*REF. HEALTH AND SAFETYACTIONS PROPOSED**EST.NO. OF PERSONSRISK BENEFITPriorityNO.ISSUETERMCOST ()BenefitingBefore After * REF. NO.: ARISING FROM SECTION 19 - HAZARD AND RISK ASSESSMENTS ** PHASING TERM: (I) = IMMEDIATE (within 6 weeks) (S) = SHORT TERM (within 12 months) (M) = MEDIUM TERM (within 4 years) (L) - LONG TERM (within 10 years) No.__________ PLEASE RETAIN THIS DOCUMENT WITHIN THE DEPARTMENT DATE: ________________ RECORD AND STATUS REPORT FORM (PART II)PRIVATE  PRIVATE SAFETY ACTION PLAN SCHEDULE*REF. ACTIONACTION ASSIGNEEDATE** PLANNEDACTUALDEPT. SIGNPriorityNO.CO-ORDINATOR(with agreement)(Assigned)COMPLETION DATECOMPLETION DATEOFF * REF. NO. same as in Part I, i.e. arising from Section 19 - Hazard Risk Assessments ** THE PLANNED COMPLETION DATE should correspond with the PHASING TERM in Part I unless priorities dictate otherwise PLEASE RETAIN THIS DOCUMENT WITHIN THE DEPARTMENT  ROOM: _________ DOCUMENT NO.4 DEPARTMENT/ROOM LEVEL SAFETY ACTION SECTION 22.0 - Record and Status Report Form (Part II): Department Safety Action Plans PAGE 1 of  NUMPAGES 2 Common\Doc4\Sect22 ROOM: _________ DOCUMENT NO.4 DEPARTMENT/ROOM LEVEL SAFETY ACTION SECTION 23.0 - Record and Status Report Form (Part II): Department Safety Action Plans PAGE 2 of  NUMPAGES 2 Common\Doc4\Sect23 [\defghiqrs. 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Page Numberw\051gh &,-./0123456789:;<=>?@ABCDEFGH3456vw *348EVaq|nopRSp()FYZ]00p0P M90 0P 0P 0P 0P 0P 0P 0P 0P M90 0P 0P 0P 0P 0P 0P 0P 0P 0P 0T 0P0P0P0P0P0P0P0P0P0P0P0P0P0P0P0P0P 0P 0P 0P 0P 0P 0P 0P 0P 0T 0P0P0P 0P M9000M90000 M90O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0000000000000000000 0 0 0 0 0 0 0 0 00 0 M900My0My0My0My0@0@0(@0My0@"0@0My0@0@0(@0My0@"0@0My0  ` p Y\ ? G w V \ [ !!Z]MOZ]3H]ao37EXZ]Z] John RingComputer CentreAlan C. PatrickAlan C. PatrickAlan C. PatrickAlan C. PatrickAlan C. PatrickAlan C. 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