SAFE Card

SAFE Card

The Safety Alert From Employees Card is a way to identify and correct hazards, unsafe conditions and unsafe work practices on Campus.

IMPORTANT: If the safety issue you are reporting requires urgent response, please by-pass filling out this form and initiate immediate action including calling your supervisor, PennComm Emergency Operations Center @ 511 (campus phones) or 215-573-3333, or EHRS (215-898-4453 – 24/7).

Employee Name*

Contact Phone #

Please provide a good contact number if we need to follow up on your entry.

Date*

Do you wish to be kept anonymous on reporting this concern?*

Yes

Division*

Campus Trades

Residential Trades

Urban Park

Housekeeping

EHRS - Administrative Staff

Design & Construction

Campus Trades*

A/C Shop

Carpenter

Controls

Electrical Operator

Electrician

Helper

Locksmith

Mason

OCC

Painter

Plumber

Roofer

Steamfitter

Residential Trades

Carpenter

Electrician

Helper

Mason

Painter

Plumber

Service Mechanic

Steamfitter

Urban Park

Waste Management

Hard-Surface

Grounds

Penn Park

Franklin Field

Housekeeping - Region*

Central

East

Medical

Residence

West

Wharton

What type of concern are you reporting?*

Hazard or Unsafe Work Condition on Campus

Unsafe Work Practice by Contractor(s) or Co-worker(s)

Location of Hazard, Unsafe Work Condition or Work Practice*

Please be specific by providing the building name, floor number, etc. when possible.

Provide a detailed description of the Hazard, Unsafe Condition or Work Practice*

Has a Work Order been entered for this hazard?

Yes

Work Order #

Photo Upload

If possible, please upload a photo of the hazard or condition for reference.

Drag and drop files here or

Send me a copy of my responses

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