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* 1. Name

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* 2. Project Number

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* 3. Today's Date

Date

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* 4. Unit Number

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* 5. Current Location Of Equipment?

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* 6. When Was The Issue Noticed?

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* 7. Please Describe The Issue

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* 8. Have You Notified The Paragon PM or HSE?

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* 9. Can You Continue Working Without This Equipment Or Continue With The Defective Equipment (Must Not Use If It Presents A Safety Hazard)? If No, Call The Logistics Coordinator Immediately at 587-460-0872. If Yes, The Logistics Coordinator Will Be In Touch Within Two Business Days.

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