Safety Concern Form 1 Start 2 Preview Name * Employee B# Email [email protected] Phone * Please put in a valid phone number for us to contact you. Subdivision * Amarillo Carlsbad Clovis Location * ex; Vaughn Yard, (siding, MP etc) Describe Safety Issue (BE SPECIFIC, Provide MP, Track#, Time ETC) * Suggested Corrective Action(s) * Help give input to fix issue
