DLA Official Forms

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Form Number: DLA7019

Form Title: DLA Supervisor Office Self Safety Inspection Checklist

Form Version: Jun 2018

Status: Active

Functional Area: Chief of Staff

Opr: CoS

Safeguards: none

Electronic: Yes

Form Link: Documents/FormsSite/forms/DL7019.pdf

Type: Primary

Prescribed: DLAI 6055.01

Description: To provide a consistent approach for supervisors to verify required safety information is posted and to assist in identifying workplace hazards when conducting self safety inspections in administrative/office areas across the Agency. For use by the workplace supervisor.

Records Retention: 6000.3 Safety and Health Case Files. Destroy 5 years after all aspects of the case are closed.

Form Audience: