EOU Campus Safety Hazard Alert Form
Date:  
To:
From: Phone:
The Following Safety/Health Problems Exist:
Location:
Hazard:

Presented to Safety Committee:
(for committee use only)

Action Taken:
(for committee use only)

Estimated Timeline:
(for committee use only)

If you know of a hazard to your health or safety on
Eastern Oregon University Campus.
PLEASE fill out and Submit this "Safety Gram"

Thank You!

Your Safety Committee