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Action Card Template

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10 views

Action Card Template

Uploaded by

ms.gmonnica
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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A.C.T.I.O.N.

Awareness Change Teach Initiate Observe Notify

Form completed by: Department:

Date: Time: Location:

Action type: □ Positive Observation □ Recommendation □ Near Miss □ Hazard □ Other

Division: □ Calgary □ Nisku □ Regina □ Fort St. John

Comment: (what did you identify to report?)

Reported to: (what action did you take?)

Corrective action: (how did you rectify the problem? what would you recommend?)

Thank you for using the Enform ACTION card. Please discuss this issue with your Manager and then forward your completed card to
the Health & Safety Training Administrator in person or by email to [email protected].

INTERNAL ONLY

Follow up:
Assigned To: Date Completed:

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