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National Hazard Directory – Safety & Environmental …

Form Ref: SMF/MG/0335 V1. National Hazard Directory Safety & Environmental Hazard Notification Form Separate form required for each submission New Amend Delete Hazard Directory Ref & Code: (if existing). Location Please give as much detail as possible, inadequate submissions will be rejected Location: Route/ DU/ ELR: Local name: Track ID/ Position/ Rail Identifier: Post Code: Purpose/ useage (RRV etc): East: Lat: Miles from: OS Grid GPS. ELR. North: Long: Miles to: Hazard / change details Hazard type: Hazard code: Confined space Access points Pipelines Other Contaminated area Walking routes Cables Environmental Restricted access Sub surface Weight restrictions Working practices Other Description/ nature of Hazard : (MANDATORY details for buried services: depth, diam)

DESCRIPTION ITEM_CODE Hazard Associated With Culvert HSL Hazard Associated With Drain HSD Hazard Associated With Pier HSP Hazard Associated With Shaft HSF

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