Plant Operations Department

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Safety and Health Suggestion Form

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This form provides a means for all students, faculty and staff to forward campus safety and health suggestions for improvement to the Muhlenberg College safety Committee for action.  The form may be filled out anonymously if preferred.


*Optional
*Name: 
*Department/Office/Residence: 
*Phone Number: 
*Email: 
Type of safety or health hazard:
Location (please be specific):
*Recommendation