WCMC Safety Health Hazard Report - West Valley-Mission 2026

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  1. Click ‘Get Form’ to open the WCMC Safety Health Hazard Report in the editor.
  2. In Part I, enter your name and extension in the 'Person reporting hazard' field, followed by the date and time of your report.
  3. Select the appropriate box indicating whether you are reporting a hazardous condition, hazardous procedures, or a health and safety concern.
  4. Provide a precise location of the incident or event in the designated field.
  5. Indicate whether you contacted District Facilities by checking 'YES' or 'NO'.
  6. Describe the hazard, condition, or procedure in detail to ensure clarity.
  7. Offer your recommendations on how to eliminate or prevent this hazard in the future.
  8. Once Part I is complete, remove the last copy for your records and submit the remaining copies as instructed.

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