Professional Documents
Culture Documents
Guide To Composition of Safety Committee
Guide To Composition of Safety Committee
NAME OF ESTABLISHMENT
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ADDRESS
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NATURE OF BUSINESS
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PERSONS EMPLOYED INCLUDING MANAGEMENT
1st SHIFT
2nd SHIFT
3rd SHIFT
:
:
:
POSITION
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MEMBERS _______________________________
_______________________________
_______________________________
____________________________
____________________________
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SECRETARY _____________________________
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TECHNICAL INFORMATION
Brief description of process operation, number and kind of equipment:
SUBMITTED BY:
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General Manager/Employer
with less than one hundred (100) workers, the following shall compose the Health and
Manager
One Foreman
Three Workers (must be union members, if organized)
The Part-time Safety Man
In this workplace, the line type as defined in 1048.02 may be
organized.