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Significant Event
Name
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Location
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Adjacent impacts/impacted areas
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Phone - immediate contact #
Summary of Events
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Summary of Impact
Are there any conditions of concern?
Activity Response Situation
Hazardous Materials or Odors
Natural disaster/weather concerns
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Other Hazardous Conditions
Response
Which campus departments have been notified?
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Other Departments Engaged
Follow up actions and notes
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Notifications