R.A.D.A.R REPORT FORM

R.A.D.A.R REPORT FORM
Employee observations can be extremely important in preventing accidents. If an employee notices an unsafe condition, that employee is required to report the information immediately to their supervisor. Please complete this R.A.D.A.R form if you observe an unsafe condition.
Name of employee who found the R.A.D.A.R:
First NameLast Name
Was anyone else a part of resolving the R.A.D.A.R?
First NameLast Name
In which location do you work?
Where the unsafe condition was observed:
R. Recognize the risk. What was the potential problem?
A. Assess the situation. What need to be done to correct the problem?
D. Develop a plan. How the unsafe condition will be address?
A. Take action. What did you do to correct the unsafe condition?
R. Record and report. What was the end result? Was the issue corrected?
Date
MonthDayYear
1
Thank you for your participation. Please note that this form will be reviewed by PSC Safety Committee and you will receive a response.
Should be Empty: