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* MUNICIPALITY:

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* 1. QUARTERLY SAFETY COMMITTEE MEETING

Date

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* Departments Attending:

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* Minutes from meeting were submitted to Don Ruprecht.

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* Injuries/Claims were reviewed?

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* 2. INSPECTIONS OF FACILITIES, VEHICLES AND MAJOR EQUIPMENT

Check the box for the major Departments who complete documented inspections of their buildings, vehicles, and major pieces of equipment:

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* 3. ANNUAL MOTOR VEHICLE RECORD VERIFICATIONS:

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* 4. FORMAL INSTRUCTOR-LED CLASSES, EITHER IN-PERSON OR VIRTUAL

Check the box for the major Departments whose employees attended at least 1 class this quarter:

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* 5. ASYNCHRONOUS LEARNING (MSI Live, or Other Recorded Classes and Videos

Check the box for the Major Departments whose employees attended asynchronous learning:

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* 6. JOB SITE OBSERVATIONS

Check the box for the major Departments who hold job site briefings, workplace coaching or after-action debriefings:

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* REPORT SUBMITTED BY:

PLEASE CLICK THE "DONE" BUTTON BELOW. THANK YOU

T