We appreciate your participation in this survey regarding a reported fire safety hazard. Your input will play a crucial role in identifying and addressing potential risks within our community. Your feedback is confidential and will be used solely for the purpose of improving fire safety. Thank you for taking the time to share your valuable insights.
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1. What is the address of the reported fire safety hazard? *
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2. Describe the fire safety hazard in detail. *
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3. Have you reported this hazard to the appropriate authorities? *
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4. If you have reported it, please provide the date and time of reporting. *
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5. Do you have any suggestions for mitigating or resolving the fire safety hazard? *
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6. Are there any specific observations or incidents related to this fire safety hazard? *
7. Please attach any photos of the hazard, if available.
8. Would you like to provide any additional comments or information?