Authorization Number : 580-0976
Agency Series No. : SAF-01H
Status : Active
Agency Web Link :
Agency : DMH
Confidential Description :
Division :
Vital Description :
Section :
Record Title : FACILITY ANNUAL SAFETY & HEALTH REPORT
Revision : 0
Record Description : (SAF-004) Form completed annually by the hospitals to summarize the hospital safety program. Includes staffing information, safety and health program activities, education and training conducted, outside inspections conducted, etc. The orignal is submitted to the Department Safety Unit in Central Office.