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2-6440 NOTE: For questions regarding this form, call Joey Pons at 482-5357 or safetyman louisiana.edu SECTION 1: GENERAL INFORMATION Building Name: Bulding Area/Floor: Inspection performed by: Date: Floor plan with evacuation route in place: Hazard Control Log in place? Are all listed hazards addressed? NOTE: If no, attach copy of Hazard Control Log to this form Fire Extinguishe.

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