Safety Concern Report

Building Name *

Location in Building *

Observer Name *

Date Observed *

Hazard Type *

Physical Hazard - risk for slip/trip/fall, unguarded machinery Ergonomic Hazard - risk of fatigue or strain Chemical Hazard - cleaning solutions, fumes, ventilation Biological Hazard - organic materials, bodily fluids Other (Please Specify)

Image of Concern

Please upload an image of the concern, if one is available

Comments *

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Chimera Safety Data Sheets

IF YOUR EMPLOYEE HAS BEEN INJURED AT WORK

REPORT A SAFETY CONCERN

About Villanova

Villanova University was founded in 1842 by the Order of St. Augustine. To this day, Villanova’s Augustinian Catholic intellectual tradition is the cornerstone of an academic community in which students learn to think critically, act compassionately and succeed while serving others. There are more than 10,000 undergraduate, graduate and law students in the University’s six colleges.

Safety Concern Report

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