Form DOC03-473 "Correctional Industries Safety Meeting Minutes" - Washington

What Is Form DOC03-473?

This is a legal form that was released by the Washington State Department of Corrections - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 19, 2020;
  • The latest edition provided by the Washington State Department of Corrections;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DOC03-473 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.

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Download Form DOC03-473 "Correctional Industries Safety Meeting Minutes" - Washington

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CORRECTIONAL INDUSTRIES
SAFETY MEETING MINUTES
Facility/office/section
Date and time of meeting
Present
Absent
Name
Title
Phone#
Work Unit/Area/Office/WR Site
()
()
Supervisor
Secretary/scribe
Employees
Incarcerated’s Name
Incarcerated’s Name
DOC #
Signature
DOC #
Signature
DOC 03-473 (Rev. 02/19/20)
Page 1 of 3
DOC 890.000
CORRECTIONAL INDUSTRIES
SAFETY MEETING MINUTES
Facility/office/section
Date and time of meeting
Present
Absent
Name
Title
Phone#
Work Unit/Area/Office/WR Site
()
()
Supervisor
Secretary/scribe
Employees
Incarcerated’s Name
Incarcerated’s Name
DOC #
Signature
DOC #
Signature
DOC 03-473 (Rev. 02/19/20)
Page 1 of 3
DOC 890.000
Incarcerated’s Name
Incarcerated’s Name
DOC #
Signature
DOC #
Signature
DOC 03-473 (Rev. 02/19/20)
Page 2 of 3
DOC 890.000
Approval of minutes from last meeting:
REVIEW OF INSPECTION/HAZARD REPORTS:
(Findings and recommendation)
Date
Hazard/Deficiency Reported
Action Taken
Assigned To
Completion Date
REVIEW OF SAFETY WORK ORDERS:
(Findings and recommendations) (Copy and Paste from Micro Main)
EVALUATE/DISCUSS ACCIDENT/INJURY REPORTS:
(Determine if cause is identified and corrected)
EVAULUATE WORKPLACE SAFETY PROGRAM AND DISCUSS RECOMMENDTIONS FOR IMPROVEMENT:
MONTHLY TAILGATE TRAINING TOPIC AND DESCRIPTION:
(Attach to minutes)
Next Scheduled Meeting Date/Time:
Time meeting adjourned:
Minutes prepared by
Supervisor Signature
The contents of this document may be eligible for public disclosure. Social Security Numbers are considered confidential information and
will be redacted in the event of such a request. This form is governed by Executive Order 16-01, RCW 42.56, and RCW 40.14
Distribution:
ORIGINAL - Safety Officer
COPY - CI Site Manager,
HQ Safety Officer 2, Safety Bulletin Board posting, others as identified, File
DOC 03-473 (Rev. 02/19/20)
Page 3 of 3
DOC 890.000
Page of 3