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Hazardous Work Area/Equipment Repair Form
This hazardous work area/equipment repair form is provided in conjunction by Facilities Management and EH&S. For client to assure that equipment and/or immediate work areas are not contaminated with any hazardous materials or
chemical residues and that it is safe to perform repairs. For Facilities Management (or Contractor), this completed form provides assurance that the specified equipment and/or area is safe for performing repairs.