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Hazard & Near-Miss Reporting
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Hazard Report
No.: New
Date Submitted:
12-26-24
Status:
Status Date:
SUBMITTER
Select Role
Employee
Student
Visitor
Select new
Adams, Chelsea
Adams, Terra
Albert, Briana
Bennett, Linda
Black, Kent
Bottom, Norma
Braun, Mike
Brown, Deanna
Brown, Jill
Bullard, Tammy
Campbell, Beth
Campbell, Tina
Cauley, Michelle
Chatwood, Stephanie
Class, Paige
Claypool, Lee
Coleman, Cheryl
Collier, Seth
Converse, Courtney
Curl, CJ
Dark, Brittany
Davie, Titus
Deere, Alexis
Dixon, Shari
Donnersbach, Kurtis
Dundon, Stacie
Feeley, Holly
Ferguson, Diana
Ferguson, Tina
Flack, Vicki
Floyd, Noah
Ford, Allison
Freudeman, Andrea
Gehres, Nora
Graham, Jen
Gregg, Leslie
Grissom, Jared
Groves, Anthony
Gualtieri, Kelsie
Haggard, Sarah
Hanes, Nicole
Hannah, Shannon
Hanrahan, Bryttney
Hecker, Heather
Hess, Victoria
Higbee, Allyson
Hilborn, Hannah
Hilborn, Nathan
Hill, Paula
Hines, Brooke
Holland, Joyce
Hollar, Chad
Holloway, Joshua
Holycross, Tessie
Huston, Sarah
James, Lori
Johnson, Karla
Johnson, Patrick
Laird, Ron
Laughbaum, Neil
Lawson, Faith
Leistritz, Ashley
Lockschmidt, SheaLea
Malone, Jason
Malone, Tera
Marsh, James
Martin, Jj
Maruniak, Vickie
May, Robert
Mccomas, Jacklyn
Mccoy, Misty
Mcnutt, Rob
Mco - sheakley, Amber blunk
Meddock, Mikella
Millice, Jaimie
Millice, John
Monroe, Lois
Moore, Kacy
Morgan, Laura
Morrow, Alex
Mroczkowski, Janet
Napier, Brittany
Neeld, Mckena
Orecchio, Deb
Organ, Katie
Osterholt, Jooli
Owen, Bryan
Pace, Michelle
Perry, Tara
Perry, Traci
Pullins, Loretta
Rees, Dorothy
Robenalt, Jenna
Robison, Kelly
Roose, Marybeth
Runion, Leslie
Runyon, Bryant
Sams, Lucy
Sapp, Sarah
Sarrazine, Mandee
Schneider, Todd
Sharp, Derek
Smart meigs, Christina
Smiles, Nicole
Smiles, Zachary
Smith, Jonathon
Spain, Chad
Spirko, Vinnie
Stokes, Jeremy
Swary, Mackenzie
Talbot, Kristi
Taylor, Brenda
Thomas, Angie
Thomas, Brandi
Thompson, Jason
Thompson, Ryan
Tpa - sheakley, Todd fitz
Trainer, Erica
Turner, Courtney
Vinson, Jessica
Walls, Tammy
Watson, Annette
Wigglesworth, Kris
Wilkins, Rick
Williams, Maggie
Windle, Terri
Winkle, Laurie
Yoder, Amy
Ziegler, Melanie
First Name
Last Name
Telephone No.
(optional)
Email Address
(required if email turned on below)
DESCRIPTION
Description of Hazard
Attachments
Add Attachment
LOCATION OF HAZARD
Site
District Office (Central) / Other
Triad Elementary
Triad High
Triad Middle
Building
Where in the Building
Accurately describe where the hazard is located at the site or where the unsafe activity occurred. If the location is not applicable to the hazard, enter "NA."
ASSIGNEE
Adams, Chelsea
Adams, Terra
Albert, Briana
Bennett, Linda
Black, Kent
Bottom, Norma
Braun, Mike
Brown, Deanna
Brown, Jill
Bullard, Tammy
Campbell, Beth
Campbell, Tina
Cauley, Michelle
Chatwood, Stephanie
Class, Paige
Claypool, Lee
Coleman, Cheryl
Collier, Seth
Converse, Courtney
Curl, CJ
Dark, Brittany
Davie, Titus
Deere, Alexis
Dixon, Shari
Donnersbach, Kurtis
Dundon, Stacie
Feeley, Holly
Ferguson, Diana
Ferguson, Tina
Flack, Vicki
Floyd, Noah
Ford, Allison
Freudeman, Andrea
Gehres, Nora
Graham, Jen
Gregg, Leslie
Grissom, Jared
Groves, Anthony
Gualtieri, Kelsie
Haggard, Sarah
Hanes, Nicole
Hannah, Shannon
Hanrahan, Bryttney
Hecker, Heather
Hess, Victoria
Higbee, Allyson
Hilborn, Hannah
Hilborn, Nathan
Hill, Paula
Hines, Brooke
Holland, Joyce
Hollar, Chad
Holloway, Joshua
Holycross, Tessie
Huston, Sarah
James, Lori
Johnson, Karla
Johnson, Patrick
Laird, Ron
Laughbaum, Neil
Lawson, Faith
Leistritz, Ashley
Lockschmidt, SheaLea
Malone, Jason
Malone, Tera
Marsh, James
Martin, Jj
Maruniak, Vickie
May, Robert
Mccomas, Jacklyn
Mccoy, Misty
Mcnutt, Rob
Mco - sheakley, Amber blunk
Meddock, Mikella
Millice, Jaimie
Millice, John
Monroe, Lois
Moore, Kacy
Morgan, Laura
Morrow, Alex
Mroczkowski, Janet
Napier, Brittany
Neeld, Mckena
Orecchio, Deb
Organ, Katie
Osterholt, Jooli
Owen, Bryan
Pace, Michelle
Perry, Tara
Perry, Traci
Pullins, Loretta
Rees, Dorothy
Robenalt, Jenna
Robison, Kelly
Roose, Marybeth
Runion, Leslie
Runyon, Bryant
Sams, Lucy
Sapp, Sarah
Sarrazine, Mandee
Schneider, Todd
Sharp, Derek
Smart meigs, Christina
Smiles, Nicole
Smiles, Zachary
Smith, Jonathon
Spain, Chad
Spirko, Vinnie
Stokes, Jeremy
Swary, Mackenzie
Talbot, Kristi
Taylor, Brenda
Thomas, Angie
Thomas, Brandi
Thompson, Jason
Thompson, Ryan
Tpa - sheakley, Todd fitz
Trainer, Erica
Turner, Courtney
Vinson, Jessica
Walls, Tammy
Watson, Annette
Wigglesworth, Kris
Wilkins, Rick
Williams, Maggie
Windle, Terri
Winkle, Laurie
Yoder, Amy
Ziegler, Melanie
OFFICE USE
Category
Account Code
Dept to which report should be sent
Environmental Health & Safety (EHS)
Check here to receive email updates as your report moves through the system.
Submit
Approved
Send to Central
Approved
Keep at Site
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