Concern Form

Concern Form revised-concern-form-feb-2011-2.doc

Complete the Occupational Health and Safety Concern Form to report a potential or existing hazard which you believe presents a risk to the health or safety of individuals in your workplace. This includes violent behaviours by students. Submit the form to the principal and keep a copy for your records. The principal will complete Section 2 and return the form to you. Once Section 2 is completed, or 7 working days has passed, indicate if the concern is resolved or not and forward to the OCEOTA office (fax 613-221-9137). Unresolved concerns will be presented for discussion at the next Joint Occupational Health and Safety Committee meeting.

If you have any concerns about indoor air quality:

1.) Complete the Occupational Health and Safety Concern Form (attached above).

2.) Complete the Indoor Environmental Quality Pre-Assessment Form (IEQ Pre-Assessment Form).

3.) Attach the IEQ Pre-Assessment to the Health and Safety Concern Form. Hand in both forms to your principal and keep a copy for your records.

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