health and safety plan solid waste management unit assessment

13.0 FORMS
Health and Safety Plan
Solid Waste Management Unit Assessment
Marine Corps Base Camp Lejeune, North Carolina
October 29, 1993
The following forms will be used in implementing this health and safety plan:
Plan Acceptance Forrn
Plan Feedback Form
Accident Report Form
Exposure History Form
The Plan Acceptance Form will be filled out by employees working on the site before site
activities begin. The Plan Feedback Form will be filled out by the site safety officer and any
other onsite employee who wishes to fill one out. The Accident Report Form will be filled out
by the Project Manager if an accident occurs. The Exposure History Form will be completed
by both the project manager and the individual(s) for whom the form is intended.
Completed forms must be returned to the Principal-in-Charge at EnSafe, Memphis, Tennessee.
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