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Hazard & Near-Miss Reporting
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Hazard Report
No.: New
Date Submitted:
03-29-24
Status:
Status Date:
SUBMITTER
Select Role
Employee
Student
Visitor
Select new
Abair, Kj
Anderson, Jill
Avery, Jamie
Barnes, Angelina
Barnes, Julie
Becker, Laura
Bender, Kris
Bernal, Ellen
Bettinger, Kristi
Bialecki, Jamie
Birr, Brianne
Black, Samantha
Bollinger, Jennifer
Brighton, Matthew
Brown, Laura
Buchhop, Theresa
Buckenmeyer, Jennifer
Buckenmeyer, Tonya
Burgoon, Jayme
Burke, Jonathan
Butler, Katie
Bzovi, Morgan
Cales, Shelly
Carrisalez, Kristen
Carrizales, Megan
Chiesa, Kara
Cogan, Melissa
Creighton, Kellie
Currier-ford, Mary kathryn
Damman, Peggy
Daniels, Deborah
Davis, Ryan
Dunford, Janey
Durdel, Linda
Durfey-dzenis, Gail
Egan, Michelle
Eisel, Lance
Engel, Michele
Falor, Janet
Feasel, Matt
Finnen, Kelly
Flory, Andrea
Foor, Jane
Ford, Doug
Ford, Jessica
Ford, Ludmilla
Ford, Meredith
Fox, Nathan
Freado, Michael
Freemain, Gabriel
Freeman, Terrie
Friess, Derek
Fuerstenau, Sarah
Garcia, Nicole
Gaynor, Ginny
Gibson, Jack
Gilbert, Jessica
Gillen, Jennifer
Gillen, Kelsey
Gross, Kim
Hallett, Cathy
Hamilton, Katie
Hasapes, Connie
Hawkins, Laura
Helminiak, Shawna
Hess, Michele
Hildreth, Rachel
Hoff, Rebecca
Hoffman, Amanda
Hoffman, Stefanie
Jackson, Randy
Jacob, Janet
Jeffers, Jeanne
Juby, Beth
Karpuszka, Zachary
Kennedy, Samantha
Kmic, Mary
Kramer, Amy
Lintermoot, Amy
Lohman, Diane
Lutheran, Kim
Mattin, Dawn
Mazurowski, Jeff
Mazurowski, Jennifer
Meiring, Dana
Mewborn, Kim
Mignin, Kirsten
Miller, Jamie
Murphy, Shawn
Myers, Michelle
Nagel, Mark
Nyquist, Wendy
Oates, Andrea
Olejniczak, Erin
Patterson, Deborah
Peckinpaugh, Becky
Peper, Kaeden
Pezzin, Phyllis
Plotts, Kylie
Popovich (change to stroud), Tiisha
Price, Anita
Reckner, Justin
Ripke, Ryan
Robertson, Eric
Roe, Lindsay
Roth, Amy
Ruple, Nathan
Scherer, Tammy
Schmidt, Mary
Schmude, Lisa
Schroeder, Debra
Schultz, Daniel
Schulze, Jesse
Selvey, Kyle
Sheakley, Lori Hansel
Shelt, Michelle
Shepherd, Barbie
Siler, Emma
Siler (change last name to nofziger), Baylee
Simmons, Deeann
Simon, Kerri
Smith, Chad
Smith, Peggy
Smith, Sean
Smith, Sharon
Snyder, Lisa
Soto, Tiffany
Starr, Susan
Steele, Walter
Steward, Bonnie
Stickley, Michelle
Sutton, Brandi
Taft, Barbara
Tedrow, Tina
Tenney, Scott
Thomas, Arthur
Tolson, Audra
Tolson, Tammy
Tresnan-reighard, Mary
Triana, Paige
Turi, Michael
Valerius, Cathy
Vanderveer, Katrina
Vasquez debustamante, Claudia
Wagner, Benjamin
Waugh, Pamela
Winkler, Malorie
Wolford, Jeff
Wolford, Jennifer
Woodring, Todd
Wyse, Kelly
Young, Johanna
Zdunczyk, Ronald
First Name
Last Name
Telephone No.
(optional)
Email Address
(required if email turned on below)
DESCRIPTION
Description of Hazard
Attachments
Add Attachment
LOCATION OF HAZARD
Site
Athletic building - fb
District Office
Elementary School
Grounds
High School
Middle School
pre school
Transportation Building
Building
Where in the Building
Accurately describe where the hazard is located at the site or where the unsafe activity occurred. If the location is not applicable to the hazard, enter "NA."
ASSIGNEE
Abair, Kj
Anderson, Jill
Avery, Jamie
Barnes, Angelina
Barnes, Julie
Becker, Laura
Bender, Kris
Bernal, Ellen
Bettinger, Kristi
Bialecki, Jamie
Birr, Brianne
Black, Samantha
Bollinger, Jennifer
Brighton, Matthew
Brown, Laura
Buchhop, Theresa
Buckenmeyer, Jennifer
Buckenmeyer, Tonya
Burgoon, Jayme
Burke, Jonathan
Butler, Katie
Bzovi, Morgan
Cales, Shelly
Carrisalez, Kristen
Carrizales, Megan
Chiesa, Kara
Cogan, Melissa
Creighton, Kellie
Currier-ford, Mary kathryn
Damman, Peggy
Daniels, Deborah
Davis, Ryan
Dunford, Janey
Durdel, Linda
Durfey-dzenis, Gail
Egan, Michelle
Eisel, Lance
Engel, Michele
Falor, Janet
Feasel, Matt
Finnen, Kelly
Flory, Andrea
Foor, Jane
Ford, Doug
Ford, Jessica
Ford, Ludmilla
Ford, Meredith
Fox, Nathan
Freado, Michael
Freemain, Gabriel
Freeman, Terrie
Friess, Derek
Fuerstenau, Sarah
Garcia, Nicole
Gaynor, Ginny
Gibson, Jack
Gilbert, Jessica
Gillen, Jennifer
Gillen, Kelsey
Gross, Kim
Hallett, Cathy
Hamilton, Katie
Hasapes, Connie
Hawkins, Laura
Helminiak, Shawna
Hess, Michele
Hildreth, Rachel
Hoff, Rebecca
Hoffman, Amanda
Hoffman, Stefanie
Jackson, Randy
Jacob, Janet
Jeffers, Jeanne
Juby, Beth
Karpuszka, Zachary
Kennedy, Samantha
Kmic, Mary
Kramer, Amy
Lintermoot, Amy
Lohman, Diane
Lutheran, Kim
Mattin, Dawn
Mazurowski, Jeff
Mazurowski, Jennifer
Meiring, Dana
Mewborn, Kim
Mignin, Kirsten
Miller, Jamie
Murphy, Shawn
Myers, Michelle
Nagel, Mark
Nyquist, Wendy
Oates, Andrea
Olejniczak, Erin
Patterson, Deborah
Peckinpaugh, Becky
Peper, Kaeden
Pezzin, Phyllis
Plotts, Kylie
Popovich (change to stroud), Tiisha
Price, Anita
Reckner, Justin
Ripke, Ryan
Robertson, Eric
Roe, Lindsay
Roth, Amy
Ruple, Nathan
Scherer, Tammy
Schmidt, Mary
Schmude, Lisa
Schroeder, Debra
Schultz, Daniel
Schulze, Jesse
Selvey, Kyle
Sheakley, Lori Hansel
Shelt, Michelle
Shepherd, Barbie
Siler, Emma
Siler (change last name to nofziger), Baylee
Simmons, Deeann
Simon, Kerri
Smith, Chad
Smith, Peggy
Smith, Sean
Smith, Sharon
Snyder, Lisa
Soto, Tiffany
Starr, Susan
Steele, Walter
Steward, Bonnie
Stickley, Michelle
Sutton, Brandi
Taft, Barbara
Tedrow, Tina
Tenney, Scott
Thomas, Arthur
Tolson, Audra
Tolson, Tammy
Tresnan-reighard, Mary
Triana, Paige
Turi, Michael
Valerius, Cathy
Vanderveer, Katrina
Vasquez debustamante, Claudia
Wagner, Benjamin
Waugh, Pamela
Winkler, Malorie
Wolford, Jeff
Wolford, Jennifer
Woodring, Todd
Wyse, Kelly
Young, Johanna
Zdunczyk, Ronald
OFFICE USE
Category
Account Code
Dept to which report should be sent
Environmental Health & Safety (EHS)
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