Report Health and Safety Issue
Page 1 of 1
Report Health and Safety Issue
Please use this tab to report a health and/or safety issue to the Somers Central School District Health and Safety Committee
1.
Name of Reporting Person and Contact Information for Follow Up (not mandatory)
2.
School Name
*
School Name
*
SHS
SMS
SIS
PES
3.
Concern Location
*
Concern Location
*
Gym
Library
Hallway
Classroom
Office
Cafeteria
Auditorium
Grounds
Other, please specify
4.
Concern Description (if applicable include dates, times, room# and any other pertinent information)
*