From: Jennifer Cline

Sent: Tue Feb 23 13:07:44 2016

To: Jason Clifford

Subject: FW: OSHA - Clifford, Jason 021916

Importance: High

Attachments: 801 Form.pdf; OSHA Accident Investigation Form - New Logo.doc;

Hi Jason,

Here are the two incident forms to start filling out. When you get a chance, drop them by my office and I can go over them, sign and turn into Sadie.

Let me know if you have any questions.

Thanks,

Jennifer Cline, P.E. | Public Works Director

Licensed in OR, WA

City of Molalla

117 N Molalla Ave. | PO Box 248 * |Molalla, OR 97038

O: 503.759.0218 | F: 503.829.3676

From: Sadie Cramer [mailto:cityrecorder@cityofmolalla.com]

Sent: Tuesday, February 23, 2016 12:57 PM

To: Jennifer Cline <jcline@cityofmolalla.com>

Subject: OSHA - Clifford, Jason 021916

Importance: High

Jen,

Here are the forms that need to be filled out. The info at the bottom of the 801 I will fill in and return back to me. Just make sure you both sign where needed. I will need these back today if possible.

If you have questions let me know.

Thanks,

Sadie