ODPEM - Hazard

Disaster Do Happen...Be Perpared!

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Hazard Notification Form

The ODPEM Welcomes your input and will direct your notification to the relevant response agency

Date:

(e.g. 2003)

Time hazard was Identified ?

Parish:

Location of the hazard:

What type of hazard is it:

Describe a landmark in the community:

How will this hazard affect the surrounding area?

Are there any critical facilities that will be affected?

Has anyone been injured:

Yes No

If yes state:

Have you reported this hazard other than ODPEM?

Yes No

If yes state:

What do you think can be done to reduce this hazard?