|
Department:____________________________ |
|
Comments |
|
Dept. code: _____________ |
|
(Do not Write in Margin) |
|
Building:______________________________ |
|
|
|
|
|
|
|
Title of Department Head: ______________________ |
|
|
|
|
|
|
|
|
|
|
|
Job Title of Employee(s) Undertaking Operation or Process: |
|
|
___________________________________________ |
|
|
|
|
|
|
|
|
|
|
|
EXACT Location: ____________________________ |
|
|
|
Description of Operation/Process: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Approx No. Operators Undertaking Operation/Process: |
|
|
|
|
|
|
|
|
|
|
Brief Principles of Operation/Process: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Approx Frequency of Operation/Process: |
|
|
|
|
|
|
|
Constant Very Frequent Frequent |
|
|
|
|
|
|
|
Rare Very Rare |
|
|
|
|
|
|
|
|
|
PTO |