You walked away from a unsafe tower?
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First Name
Last Name
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Phone number optional
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Area Code
Phone Number
What state was the tower in?
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Alabama
Alaska
Arizona
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Connecticut
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Florida
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Hawaii
Idaho
Illinois Indiana
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Montana Nebraska
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Ohio
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Oregon
Pennsylvania Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Who owns the tower?
*
How many carriers are on this tower?
*
Due to there being so many towers. Is there a specific way to identify this tower and get rid of confusion?
Type of Tower
*
Guyed
Self Supporter
Monopole
Rooftop
Water Tank
Latitude & Longitude
Address you were given for the site?
Who is the carrier you were working for?
*
Who issued your PO?
Have you notified the appropriate person in your chain of command?
Please Select
Yes
No
Not Yet
What sort of work were you to perform?
What is the safety issue that caused you concern?
Is there anything else I should know?
Do you have photos?
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