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Safety Suggestion Card
Safety Suggestion Cards are important to have in a place whenever there is a hazardous situation that could occur. These suggestion cards, like the one attached, will help prevent accidents by encouraging employees to make recommendations or raise concerns about safety issues that might exist.

Free Sample Template
Format: Word PDF
# of Pages: 1
Printable: Yes

Safety Suggestion Card TemplateForm 2239
Format: Word PDF
Category: Employee, Accident
Type: Suggestion

SAFETY SUGGESTION CARD
Company Name
111 W Main Street
City, ST 00000

Employee’s Name: (optional) ______________________________________________________

Date: ___/___/_____

Suggestion

Enter suggestion regarding safety or a hazard below. Include as much detail as possible. Use additional paper as needed.








Corrective Action

Assigned to

ACTION PLAN

1.

2.

3.

4.

Date Assigned

1

X

Date Due

2

X

Priority Level

3

X

Response to Employee

4

X

Manager’s Signature: _______________________________________________________Date: ___/___/_____