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All injuries, no matter how small, must be reported to the Lead, Supervisor, and Manager. MCMG: 877-502-9466
Select every hazard that applies. The matching controls can be reviewed and adjusted before submission.
Employees are selected from Salesforce Contacts. Customer and guest names may be entered directly.
I understand the work plan, identified hazards, required controls, and my responsibility to stop work if conditions change or the task cannot be completed safely.
Choose a person already listed on this JSA, then have that person draw their signature.
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The current signed PDF will be attached.
The currently signed Salesforce PDF will remain unchanged until everyone listed signs this revised JSA. Prior-revision signatures cannot be carried forward.
