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SECOR® Annual Submission Pkg

  1. Sample submission package completed – PDF
  2. Blank forms from the sample package are available below.

  3. Fillable Documents
    • SECOR submission form
    • Workplace Inspection
    • Incident Investigation Report
    • Emergency Evacuation Procedure – sample 1
    • Emergency Response Plan (ERP)
    • Maintenance Record
    • Maintenance Schedule
    • Tailgate/Toolbox Meeting
    • Hazard Assessment
    • Health and Safety Activity Summary (optional)
    • Hazard Assessment/Tailgate duo form
  4. Please note – these are only a sample, see Build a Safety Manual for more templates and forms.

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Elly Akhsanova
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867.633.6676

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