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Report of Hazard or Unsafe Condition

The Report of Hazard or Unsafe Condition is designed to encourage employee participation in the Safety and Health of the Panama-Buena Vista Union School District to ensure prompt action when employees report a hazard.


This form should not be used to report immediate and dangerous working conditions.  If a dangerous working condition exists that requires immediate corrective action, the employee shall notify his/her supervisor at once.  

Please note this report may be submitted anonymously.


If you wish to remain anonymous DO NOT INCLUDE YOUR NAME, POSITION OR PHONE NUMBER. 


Employees may submit this form through a Google Form or can access the form below. The form can be submitted at the the Health, Safety and Wellness office.  District mail may also be used for anonymous notification.

Online Form

Report of Hazard or Unsafe Condition Revised 9/11/23