Premises changes

Issue Details

Date and time reported(*)

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Reported by (name)(*)

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Location of Issue

Choose the site(*)

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Specific Location (room, area, floor, etc):(*)

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Assest/Equipment affected (if applicable):

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Issue Description

Please describe the issue clearly(*)

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When was the issue first noticed?(*)

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Is the issue ongoing or has it occurred before?(*)

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Priority of Assessment

How urgent is this issue?(*)

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Does this issue present an immediate risk?(*)

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If yes, please explain

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Supporting Information

Are there photos or documents available?

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Attachments provided

PhotosOther, please state below

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Other, please state

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Premises reporting changes